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

Mr. Kyle Andrew Jordan, CADCII, ICADC, AS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124686910

Mr. Kyle Andrew Jordan, CADCII, ICADC, AS is an Addiction (Substance Use Disorder) Counselor in Campo, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A063351023 (CA)

Record details

NPI number1124686910
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII , ICADC , AS
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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