| Jordan Consulting And Counseling, Llc | |
|
10650 County Road 81 Suite 205 Maple Grove MN 55369-4075 | |
| (763) 424-2100 | |
| Not Available |
| Full Name | Jordan Consulting And Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10650 County Road 81, Maple Grove, Minnesota |
| Authorized Official Name and Position | Elizabeth Jordan-o'donnell (OWNER) |
| Authorized Official Contact | 7634242100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Consulting And Counseling, Llc 10650 County Road 81 Suite 205 Maple Grove MN 55369-4075 Ph: (763) 424-2100 | Jordan Consulting And Counseling, Llc 10650 County Road 81 Suite 205 Maple Grove MN 55369-4075 Ph: (763) 424-2100 |
| NPI Number | 1194127878 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194127878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CC00759 (Minnesota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303640 (Minnesota) | Secondary |
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