Individual
DAJAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Contact information
Practice address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
(855) 604-0927
Mailing address
908 GULLIVER DR, COLUMBUS, OH 43207-7210
(614) 867-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179788
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162962
OH
Other
Enumeration date
05/13/2022
Last updated
01/26/2026
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