Individual
MS. HEATHER MN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-1648
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-1648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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