Individual provider · Type 1 NPI

Jordon M. Distad, LPCC

Professional Counselor · Mentor, OH

NPI number 1346965506 Active

Practice location

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743

Fax (440) 565-2389

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE2203129 (OH)

Professional Counselor: Definition to come...

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About NPI 1346965506

Jordon M. Distad, LPCC's National Provider Identifier is 1346965506, issued on Oct 10, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mentor, OH. The record was last updated on Oct 10, 2022.