D'ANGELO JORDAN

CORBIN, KY
NPI1467977017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-04
Last Update Date2017-08-04
Business Address
Mr. D'ANGELO JORDAN
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
Mr. D'ANGELO JORDAN
257 HANES BAKER RD
CORBIN, KY 40701-4902
Phone number: