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Individual

MARCUS JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AAS

Contact information

Practice address
900 20TH ST, HUNTINGTON, WV 25703-1810
(681) 378-3908
Mailing address
900 20TH ST, HUNTINGTON, WV 25703-1810
(681) 378-3908

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/11/2024
Last updated
04/26/2026
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