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

Marissa Jordan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710852124

Marissa Jordan is an Addiction (Substance Use Disorder) Counselor in APO, Armed Forces Pacific. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 307 Box 2023
APO, AP 96224-0021
Phone: (315) 737-3612

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 150.117482 (IL)

Record details

NPI number1710852124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 6, 2025
Mailing addressPsc 307 Box 2023, Apo, AP 96224-0021

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