Mr Jordan Ralph Vieira Jr, AAS,CASAC is a
Counselor - Addiction (substance Use Disorder) based in Naples, New York. Mr Jordan Ralph Vieira Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
6017 Hicks Rd, Naples, New York. He can be reached at his office (for appointments etc.) via phone at
(585) 750-4103.
NPI number for Mr Jordan Ralph Vieira Jr is 1457443590 and his current mailing address is 6017 Hicks Rd, Naples, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457443590.
Healthcare Provider's Profile
| Full Name | Mr Jordan Ralph Vieira Jr |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 6017 Hicks Rd, Naples, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457443590
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jordan Ralph Vieira Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457443590 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jordan Ralph Vieira Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jordan Ralph Vieira Jr, AAS,CASAC
6017 Hicks Rd,
Naples, NY 14512-9735
Ph: (585) 750-4103 | Mr Jordan Ralph Vieira Jr, AAS,CASAC
6017 Hicks Rd,
Naples, NY 14512-9735
Ph: (585) 750-4103 |
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