Individual
JORDAN DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 BELMONT ST, MANCHESTER, NH 03103-4311
(603) 263-6444
Mailing address
303 BELMONT ST, MANCHESTER, NH 03103-4311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0191
NH
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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