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

Mark Lamarr Jordan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588372478

Mark Lamarr Jordan is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1733 Euclid Ave
San Diego, CA 92105-5414
Phone: (619) 263-0433
Fax: (619) 263-3992
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 · Licence 13508 (CA)

Record details

NPI number1588372478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

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