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1427799402
KEVIN JORDAN
BERKELEY, CA
NPI
1427799402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KEVIN JORDAN
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
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Mailing Address
KEVIN JORDAN
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
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