Individual provider · Type 1 NPI

Jordan Lee Haight, LPCC

Mental Health Counselor · Maple Grove, MN

NPI number 1619637998 Active

Practice location

11334 86th Ave N
Maple Grove, MN 55369-4528

Mailing address

221 Quail Dr
Montrose, MN 55363-5439

Other practice locations

  • 221 Quail Dr, Montrose, MN 55363-5439 · (320) 630-4197

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619637998

Jordan Lee Haight, LPCC's National Provider Identifier is 1619637998, issued on Dec 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maple Grove, MN. The record was last updated on Dec 28, 2021.