Individual provider · Type 1 NPI

Kimberly Jordan

Addiction (Substance Use Disorder) Counselor · Portsmouth, OH

NPI number 1659868396 Active

Practice location

1616 Grant St
Portsmouth, OH 45662-3663

Call (740) 901-0416 Map

Fax (740) 529-1205

Mailing address

729 6th St
Portsmouth, OH 45662-4030

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.177568 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659868396

Kimberly Jordan's National Provider Identifier is 1659868396, issued on Apr 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, OH. The record was last updated on Apr 5, 2022.