Individual
ANGELA D JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
Mailing address
923 SUNRISE AVE, WEST UNION, OH 45693-1143
(937) 544-5547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
130991
OH
Other
Enumeration date
08/30/2017
Last updated
04/17/2020
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