Individual
MS. LIDIA U. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
344 FULTON AVE, HEMPSTEAD, NY 11550-3923
(516) 538-2613
(516) 538-0772
Mailing address
270 S BROOKSIDE AVE, FREEPORT, NY 11520-4140
(516) 538-2613
(516) 538-0772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21384
NY
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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