Craig Alan Jordan in Lees Summit - Addiction (substance Use Disorder)

Craig Alan Jordan - NPI 1609983428

Craig Alan Jordan is a Addiction (substance Use Disorder) in Lees Summit, Missouri. Craig Alan Jordan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Craig Alan Jordan is 1609983428. The last update date is 2010-01-19.

Craig Alan Jordan's current location address is 108 Sw Madison St, Lees Summit, Missouri. You can contact this provider via phone number 8164046319 and fax number 8164046318. The mailing address for Craig Alan Jordan is 108 Sw Madison St, Lees Summit, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig Alan Jordan
Address 108 Sw Madison St, Lees Summit, Missouri
Phone Number 8164046319
Fax Number 8164046318
Sole Proprietor N
Credentials M.A.

NPI Number Detail

NPI Number 1609983428
Provider Enumeration Date 2006-08-25
Last Updated Date 2010-01-19

Provider Mailing Address Detail

Address 108 Sw Madison St
City Lees Summit
State Missouri (MO)
Post Code 640632223
Phone Number 8164046319
Fax Number 8164046318

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2132
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Craig Alan Jordan

What is the unique 10-digit identification code issued to Craig Alan Jordan by the Centers for Medicare & Medicaid Services?

The Craig Alan Jordan has been assigned the NPI (National Provider Identifier) 1609983428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Craig Alan Jordan?

The Craig Alan Jordan is situated at 108 Sw Madison St, in the city of Lees Summit, state of MO, with the zip code 640632223.

What is Craig Alan Jordan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Craig Alan Jordan's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Craig Alan Jordan receive its 1609983428 assignment from the Centers for Medicare & Medicaid Services?

The Craig Alan Jordan was assigned its 1609983428 by the Centers for Medicare & Medicaid Services on 2006-08-25.

When was the information related to Craig Alan Jordan most recently updated or refreshed?

The details pertaining to the Craig Alan Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-19.

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