Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Licurgo, ADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487243275

Jordan Licurgo, ADT is an Addiction (Substance Use Disorder) Counselor in Charlotte Hall, Maryland. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

30007 Business Center Dr
Charlotte Hall, MD 20622-3101
Phone: (301) 997-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1487243275
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADT
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 13, 2021

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