Individual provider · Type 1 NPI

Antonia Jordan

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1770769655 Active

Practice location

6265 Sepulveda Blvd
Van Nuys, CA 91411-1114

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991

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 1770769655

Antonia Jordan's National Provider Identifier is 1770769655, issued on Jan 10, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Jan 10, 2008.