LIDIA U. JORDAN

HEMPSTEAD, NY
NPI1396079497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  21384)
Enumeration Date2009-09-23
Last Update Date2009-09-23
Business Address
Ms. LIDIA U. JORDAN CASAC-T
344 FULTON AVE
HEMPSTEAD, NY 11550-3923
Phone number: 516-538-2613
Mailing Address
Ms. LIDIA U. JORDAN CASAC-T
270 S BROOKSIDE AVE
FREEPORT, NY 11520-4140
Phone number: 516-538-2613