Individual
HANNAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
550 LISBON ST, LEWISTON, ME 04240-6580
(207) 514-0829
Mailing address
550 LISBON ST, LEWISTON, ME 04240-6580
(207) 514-0829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6242
ME
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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