Individual
CHERRY M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CCS, MHRT/C
Contact information
Practice address
849 STILLWATER AVE, BANGOR, ME 04401-3624
(207) 573-7941
Mailing address
849 STILLWATER AVE, BANGOR, ME 04401-3624
(207) 573-7941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6149
ME
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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