Jordan Lee Johnson, MA, LPC, LPCC
NPI #1023346012 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1023346012
- Entity Type
- Individual
- Name
- Jordan Lee Johnson, MA, LPC, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC, LPCC
- Enumeration Date
- Dec 2, 2009
- Last Updated
- Oct 3, 2013
Practice Location
- Address
- 6303 OSGOOD AVE N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6101
- Phone
- (651) 383-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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