ANTONIA JORDAN

VAN NUYS, CA
NPI1770769655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-01-10
Last Update Date2008-01-10
Business Address
-- ANTONIA JORDAN
6265 SEPULVEDA BLVD
VAN NUYS, CA 91411-1114
Phone number: 818-779-0555
Mailing Address
-- ANTONIA JORDAN
26460 SUMMIT CIR
SANTA CLARITA, CA 91350-2991
Phone number:
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