MARK LAMARR JORDAN

SAN DIEGO, CA
NPI1588372478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  13508)
Enumeration Date2022-11-09
Last Update Date2022-11-09
Business Address
MARK LAMARR JORDAN
1733 EUCLID AVE
SAN DIEGO, CA 92105-5414
Phone number: 619-263-0433
Mailing Address
MARK LAMARR JORDAN
6634 GARBER AVE
SAN DIEGO, CA 92139-3815
Phone number: 619-852-4734
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