Individual
SABRINA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAAC ICADC
Contact information
Practice address
145 BRUAW DR, YORK, PA 17406-6502
(717) 701-1967
Mailing address
145 BRUAW DR, YORK, PA 17406-6502
(717) 701-1967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8899
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8899
PA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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