person
Jordan Lee Johnson, MA,LPC,LPCC
Professional Counselor in Stillwater, Minnesota
NPI 1023346012

Jordan Lee Johnson is a Professional Counselor based in Stillwater, MN and is specialized in Professional. Jordan Lee Johnson practices in Stillwater, MN and has the professional credentials of MA,LPC,LPCC. The NPI Number for Jordan Lee Johnson is 1023346012 and holds a License No. 4851-125 (Minnesota).

The current practice location address for Jordan Lee Johnson is 6303 Osgood Ave N, Stillwater, MN and can be reached out via phone at 651-383-4800 and via fax at 651-383-4801.

Location: 6303 Osgood Ave N, Stillwater, MN, 55082-6101
person
Provider Profile Details
NPI Number
1023346012
Provider Name
Jordan Lee Johnson
Credential
MA,LPC,LPCC
Provider Entity Type
Individual
Gender
Male
Address
6303 Osgood Ave N, Stillwater, MN, 55082-6101
Phone Number
651-383-4800
Fax Number
651-383-4801
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023346012 05 MN
1023346012 05 WI
institution
Provider Business Practice Location Address Details
Address
6303 Osgood Ave N
City
State
Zip
55082-6101
Phone Number
651-383-4800
Fax Number
651-383-4801
person
Provider Business Mailing Address Details
Address
6303 Osgood Ave N
City
State
Zip
55082-6101
Phone Number
651-383-4800
Fax Number
651-383-4801
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4851-125 (Wisconsin)
Definition
Definition to come...
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