Individual provider · Type 1 NPI

Stephanie Elizabet Jordan, LADC

Addiction (Substance Use Disorder) Counselor · North Mankato, MN

NPI number 1669958419 Active

Practice location

1826 Commerce Dr
North Mankato, MN 56003-1800

Call (507) 229-0350 Map

Fax (507) 216-0371

Mailing address

360 Pierce Ave Ste 206
North Mankato, MN 56003-2250

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305187 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669958419

Stephanie Elizabet Jordan, LADC's National Provider Identifier is 1669958419, issued on Jul 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Mankato, MN. The record was last updated on Sep 29, 2023.