Craig Michael Jordan, CDCA
Counselor, Addiction (Substance Use Disorder) in Rock Creek, OH. Individual provider (NPI-1).
NPI number1992260038
StatusActive
Last updated in NPPESFeb 3, 2019
Details
- NPI
- 1992260038
- Entity type
- Individual (NPI-1)
- Name
- Mr. Craig Michael Jordan
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2019
- Last updated
- Feb 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 140478 | OH | Yes |
Practice location
2863 State Route 45 NRock Creek, OH 44084-9352
Phone 440-563-3400
Mailing address
110 Orchard AveNiles, OH 44446-5242
Phone 440-969-8088
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All 26 Addiction (Substance Use Disorder) Counselor providers in Rock Creek · All 71 providers in Rock Creek
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