Individual
DAVID A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, CCS
Contact information
Practice address
100 GRAY RD, FALMOUTH, ME 04105
(207) 423-6860
Mailing address
5 HYDE RD, GRAY, ME 04039-9441
(207) 423-6860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC1518
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
CC1518
ME
Other
Enumeration date
10/14/2015
Last updated
07/02/2019
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