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Jordan Stevens Ribeira

Counselor, Addiction (Substance Use Disorder) in Modesto, CA. Individual provider (NPI-1).

NPI number1942909080
StatusActive
Last updated in NPPESFeb 27, 2023

Details

NPI
1942909080
Entity type
Individual (NPI-1)
Name
Jordan Stevens Ribeira
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2023
Certification date
Feb 27, 2023
Last updated
Feb 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1235 McHenry Ave
Modesto, CA 95350-5370

Phone 209-527-4597

Mailing address

1700 N Tully Rd Apt A102
Turlock, CA 95380-6812

Phone 209-552-5169

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