Individual
MR. JORDAN RALPH VIEIRA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAS,CASAC
Contact information
Practice address
6017 HICKS RD, NAPLES, NY 14512-9735
(585) 750-4103
Mailing address
6017 HICKS RD, NAPLES, NY 14512-9735
(585) 750-4103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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