Individual provider · Type 1 NPI

Marissa Jordan

Addiction (Substance Use Disorder) Counselor · Apo, AP

NPI number 1710852124 Active

Practice location

Psc 307 Box 2023
Apo, AP 96224-0021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150.117482 (IL)

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

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About NPI 1710852124

Marissa Jordan's National Provider Identifier is 1710852124, issued on Oct 7, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Apo, AP. The record was last updated on Oct 7, 2025.