NPI 1710852124
Marissa Jordan
Practice location
- Address
- Psc 307 Box 2023, Apo, AP 96224-0021
- Phone
- (315) 737-3612
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1710852124
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Oct 2025
- Record last updated
- 7 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.