Jordan Amber Aldridge

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Brockton, MA

NPI 1487219465 · NPPES record last updated May 6, 2019

Key facts

NPI
1487219465
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
10 Meadowbrook Rd
Brockton, MA 02301-7122
Phone
(774) 213-8448
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Mailing address

72 Kilburn St
New Bedford, MA 02740-7321

Other providers in Brockton, MA

All providers in Brockton, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.