ROY JORDAN NPI 1336749803

NPI Information

  • NPI: 1336749803
  • Provider Name: ROY JORDAN
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2702 BACK ACRE CIR STE 290B
    MOUNT AIRY, MD
    ZIP 21771
  • Phone: (301) 703-8767

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NPI Details

Roy Jordan is an addiction (substance use disorder) counselor in Mount Airy, MD. Roy Jordan NPI is 1336749803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2702 BACK ACRE CIR STE 290B
MOUNT AIRY, MD
ZIP 21771-769
Phone: (301) 703-8767
Fax: (301) 703-8886

The enumeration date for this NPI number is 10/26/2020 and was last updated on 10/27/2020.

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: 11/21/2025

NPI Synchronization or Removal

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