Jordan, James Raymond

Jordan, James Raymond is an sole proprietor health care provider with primary practice located at 595 Route 25A Suite #15, Miller Place NY 11764-2646. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jordan, James Raymond can be contacted via phone (631) 786-0842.

Contact Information

Primary practice address
595 Route 25A Suite #15 Miller Place NY 11764-2646
Phone: (631) 786-0842
Fax: (631) 775-9284
Website:
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Health care specialties

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

Profile Details

NPI number 1023397387
LBN Legal business name Jordan, James Raymond
Credentials MS, NCC, LMHC,DCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Apr 30th, 2015 - about 10 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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