White, Devin Alexander Jordan

White, Devin Alexander Jordan is an individual health care provider with primary practice located at 9620 Careys Run Pond Creek Road , Mcdermott OH 45652. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. White, Devin Alexander Jordan can be contacted via phone (740) 858-6683.

Contact Information

Primary practice address
9620 Careys Run Pond Creek Road Mcdermott OH 45652
Phone: (740) 858-6683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161896 Ohio

Profile Details

NPI number 1023786639
LBN Legal business name White, Devin Alexander Jordan
Credentials LCDC II
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2021
Last updated Dec 12th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023786639 NPPES
Ohio MEDICAID 0465417

Popular Providers