Individual provider · Type 1 NPI
Nathaniel Jordon
Mental Health Counselor · White Bear Lake, MN
NPI number
1639096696
Active
Practice location
4525 White Bear Pkwy Ste 226
White Bear Lake, MN 55110-7660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1639096696
Nathaniel Jordon's National Provider Identifier is 1639096696, issued on Jul 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in White Bear Lake, MN. The record was last updated on Aug 18, 2026.