Kyle Andrew Jordan, CADC II, ICADC, AS Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Campo, CA

NPI

1124686910

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

A063351023 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2019-06-05

Last updated

2025-03-27