Individual provider · Type 1 NPI

Angelia Denise Jordan

Addiction (Substance Use Disorder) Counselor · St. Louis, MO

NPI number 1679218564 Active

Practice location

6763 Page Ave
St. Louis, MO 63133-1635

Call (314) 320-6728 Map

Mailing address

1430 Olive St
St. Louis, MO 63103-2360

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1679218564

Angelia Denise Jordan's National Provider Identifier is 1679218564, issued on May 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis, MO. The record was last updated on May 4, 2022.