Individual provider · Type 1 NPI

Jordan Paris Leuthold, MS, LPCC

Professional Counselor · Rogers, MN

NPI number 1306404686 Active

Practice location

21395 John Milless Dr Ste 400
Rogers, MN 55374-4407

Call (763) 424-1888 Map

Mailing address

13477 73rd Pl N
Maple Grove, MN 55311-2831

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC02131 (MN)

Professional Counselor: Definition to come...

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About NPI 1306404686

Jordan Paris Leuthold, MS, LPCC's National Provider Identifier is 1306404686, issued on Jun 3, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rogers, MN. The record was last updated on Jun 3, 2019.