Jacqueline D Jordan in Birmingham - Addiction (substance Use Disorder)
Jacqueline D Jordan - NPI 1326076522
Jacqueline D Jordan is a Addiction (substance Use Disorder) in Birmingham, Alabama. Jacqueline D Jordan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jacqueline D Jordan is 1326076522. The last update date is 2007-07-08.
Jacqueline D Jordan's current location address is 619 19th Street South, Birmingham, Alabama. You can contact this provider via phone number 2059346600. The mailing address for Jacqueline D Jordan is 619 19th Street South, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline D Jordan |
|---|---|
| Address | 619 19th Street South, Birmingham, Alabama |
| Phone Number | 2059346600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CO |
NPI Number Detail
| NPI Number | 1326076522 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 619 19th Street South |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352330 |
| Phone Number | 2059346600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10081 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E92967 | AL | VIVA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacqueline D Jordan by the Centers for Medicare & Medicaid Services?
The Jacqueline D Jordan has been issued the NPI (National Provider Identifier) 1326076522, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacqueline D Jordan is physically located?
The Jacqueline D Jordan is situated at the following address: 619 19Th Street South, Birmingham, AL 352330.
What is Jacqueline D Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacqueline D Jordan is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Jacqueline D Jordan receive its 1326076522 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline D Jordan was assigned its 1326076522 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the Jacqueline D Jordan's information last updated?
The Jacqueline D Jordan's information was last updated on 2007-07-08.
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