Undrey Jordan
Counselor, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).
NPI number1043662059
StatusActive
Last updated in NPPESJul 1, 2016
Details
- NPI
- 1043662059
- Entity type
- Individual (NPI-1)
- Name
- Undrey Jordan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2016
- Last updated
- Jul 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
600 E 7th St Ste 105Los Angeles, CA 90021-1439
Phone 213-537-0110
Mailing address
600 E 7th St Ste 105Los Angeles, CA 90021-1439
Phone 213-537-0110
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