ELIA1 JORDAN

SAN PEDRO, CA
NPI1518828466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-11-20
Last Update Date2025-11-20
Business Address
ELIA1 JORDAN
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
Mailing Address
ELIA1 JORDAN
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209