Individual
THOMAS H JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC - NJ
Contact information
Practice address
302 HAWTHORNE AVE, POINT PLEASANT BEACH, NJ 08742-2539
(732) 899-1511
(732) 892-0984
Mailing address
302 HAWTHORNE AVE, POINT PLEASANT BEACH, NJ 08742-2539
(732) 899-1511
(732) 892-0984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00180300
NJ
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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