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

Mr. Jordan T. Desimone, CADC-CAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932673563

Mr. Jordan T. Desimone, CADC-CAS is an Addiction (Substance Use Disorder) Counselor in Altadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

460 E Sacramento St
Altadena, CA 91001-2915
Phone: (626) 808-0335
Fax: (626) 270-4640
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 C039991116 (CA)

Record details

NPI number1932673563
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-CAS
Sole proprietorYes
NPI enumeratedJanuary 16, 2019
Last updated in NPPESJanuary 16, 2019

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