Individual
MR. CRAIG MICHAEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2863 STATE ROUTE 45 N, ROCK CREEK, OH 44084-9352
(440) 563-3400
Mailing address
110 ORCHARD AVE, NILES, OH 44446-5242
(440) 969-8088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140478
OH
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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