Individual
JOSEPH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1325 LAGERFELD WAY, WAKE FOREST, NC 27587-1643
(919) 261-7481
Mailing address
1325 LAGERFELD WAY, WAKE FOREST, NC 27587-1643
(919) 261-7481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
812
NC
101YM0800X
Mental Health Counselor
Primary
3889
NC
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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