Individual provider · Type 1 NPI
Jordan T. Desimone, CADC-CAS
Addiction (Substance Use Disorder) Counselor · Altadena, CA
NPI number
1932673563
Active
Practice location
460 E Sacramento St
Altadena, CA 91001-2915
Fax (626) 270-4640
Mailing address
1391 Prime Ct
Pasadena, CA 91104-5035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C039991116 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1932673563
Jordan T. Desimone, CADC-CAS's National Provider Identifier is 1932673563, issued on Jan 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Altadena, CA. The record was last updated on Jan 16, 2019.