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JACQUELINE LOVON JORDAN
NPI 1700349115
Counselor - Addiction (Substance Use Disorder) in Concord, NC

Active since April 11, 2019
172 SPRING ST SW, CONCORD, NC 28025(704) 786-8722 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Lovon Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE LOVON JORDAN (NPI 1700349115) is an individual addiction (substance use disorder) provider in Concord, North Carolina, licensed in North Carolina (CSAC-21242) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1700349115
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE LOVON JORDAN
Location Address172 SPRING ST SWConcord, NC 28025-5035
Mailing Address172 Spring St SwConcord, NC 28025-5035 · (704) 786-8722
Phone(704) 786-8722
Sole ProprietorNo
Enumeration DateApril 11, 2019
✔ NPI 1700349115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · CSAC-21242
172 SPRING ST SW, Concord, NC 28025
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE SERENITY HOUSE, INC.
Substance Abuse Rehabilitation Facility
172 SPRING ST SW
CONCORD, NC 28025
Cabarrus County (704) 786-8722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Jordan's NPI number?

The NPI number for Jacqueline Jordan is 1700349115. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Jacqueline Jordan located?

Jacqueline Jordan practices at 172 Spring St SW, Concord, NC 28025. The listed phone number is (704) 786-8722.

What is Jacqueline Jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Jordan was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.