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Individual
JORDAN GUNTER STEPHENS
Active
Individual
JORDAN GUNTER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM, CADC-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
175T00000X
Peer Specialist
26-CRM-5676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730244294
—
OR
05
—
KB101B8Y
—
OR
Enumeration date
06/19/2026
Last updated
07/24/2026
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