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ROXANNE JORDAN AOD CERTIFICATION NPI 1205306917

NPI Profile

NPI: 1205306917
Provider Name: ROXANNE JORDAN, AOD CERTIFICATION
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1050 N GAREY AVE
POMONA, CA
ZIP 91767
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Phone: (909) 623-6391

Roxanne Jordan, AOD CERTIFICATION is an addiction counselor in Pomona, CA. Roxanne Jordan, AOD CERTIFICATION NPI is 1205306917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 N GAREY AVE
POMONA, CA
ZIP 91767-802
Phone: (909) 623-6391

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/10/2019

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.