National Provider Identifier
Jordan Ralph Vieira Jr., AAS, CASAC
Jordan Ralph Vieira Jr., AAS, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Naples, NY and a listed phone number of (585) 750-4103.
Profile Overview
- NPI
- 1457443590
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6017 Hicks RD
- Naples, NY 14512-9735
Phone: (585) 750-4103
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1457443590
- Entity Type
- Individual
- Last Name
- Vieira
- First Name
- Jordan
- Middle Name
- Ralph
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- AAS, CASAC
- Mailing Street Address
- 6017 Hicks RD
- Mailing City
- Naples
- Mailing State
- NY
- Mailing ZIP Code
- 14512-9735
- Mailing Country
- US
- Mailing Phone
- (585) 750-4103
- Practice Street Address
- 6017 Hicks RD
- Practice City
- Naples
- Practice State
- NY
- Practice ZIP Code
- 14512-9735
- Practice Country
- US
- Practice Phone
- (585) 750-4103
- Enumeration Date
- September 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)