Jordan Coles, LPCC | |
1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 | |
(218) 512-0630 | |
(218) 512-0437 |
Full Name | Jordan Coles |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1132 28th Ave S Ste 102, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902245665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Slv Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285352872 PECOS PAC ID: 2466821251 Enrollment ID: O20221219000984 |
Mailing Address | Practice Location Address |
---|---|
Jordan Coles, LPCC 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 Ph: (218) 512-0630 | Jordan Coles, LPCC 1132 28th Ave S Ste 102, Moorhead, MN 56560-4420 Ph: (218) 512-0630 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |