Jordan, Charles

Jordan, Charles is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jordan, Charles can be contacted via phone (907) 966-2411.

Contact Information

Primary practice address
222 Tongass Dr Sitka AK 99835-9416
Phone: (907) 966-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1932752110
LBN Legal business name Jordan, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Nov 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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