Individual
MR. JORDAN JOHN LORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 822-2579
Mailing address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC9023
ME
1041C0700X
Clinical Social Worker
Primary
LC25109
ME
Other
Enumeration date
08/10/2023
Last updated
10/16/2025
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