JORDAN STEVENS RIBEIRA

MODESTO, CA
NPI1942909080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-02-27
Last Update Date2023-02-27
Business Address
JORDAN STEVENS RIBEIRA
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Mailing Address
JORDAN STEVENS RIBEIRA
1700 N TULLY RD APT A102
TURLOCK, CA 95380-6812
Phone number: 209-552-5169