Individual provider · Type 1 NPI
Jordan Lee Johnson, MA, LPC, LPCC
Professional Counselor · Stillwater, MN
NPI number
1023346012
Active
Practice location
6303 Osgood Ave N
Stillwater, MN 55082-6101
Fax (651) 383-4801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 4851-125 (WI) |
| Professional Counselor Primary | 101YP2500X | CC00629 (MN) |
Professional Counselor: Definition to come...
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About NPI 1023346012
Jordan Lee Johnson, MA, LPC, LPCC's National Provider Identifier is 1023346012, issued on Dec 2, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stillwater, MN. The record was last updated on Oct 3, 2013.