Stephenq Micheal Jordan, M.S.
Counselor, Addiction (Substance Use Disorder) in South Yarmouth, MA. Individual provider (NPI-1).
NPI number1639618010
StatusActive
Last updated in NPPESFeb 17, 2017
Details
- NPI
- 1639618010
- Entity type
- Individual (NPI-1)
- Name
- Stephenq Micheal Jordan
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2017
- Last updated
- Feb 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
31 Workshop RdSouth Yarmouth, MA 02664-1210
Phone 855-830-4329
Mailing address
60 Pine Hill BlvdMashpee, MA 02649-2850
Phone 855-830-4329
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All 19 Addiction (Substance Use Disorder) Counselor providers in South Yarmouth · All 297 providers in South Yarmouth
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