Individual provider · Type 1 NPI

Madison Jordan, CDCA

Addiction (Substance Use Disorder) Counselor · West Carrollton, OH

NPI number 1750148672 Active

Practice location

100 Elmwood Park Dr
West Carrollton, OH 45449-5402

Fax (937) 384-0581

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.187595 (OH)

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

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About NPI 1750148672

Madison Jordan, CDCA's National Provider Identifier is 1750148672, issued on Mar 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Carrollton, OH. The record was last updated on Mar 6, 2024.