Jordon M Distad, LPCC

NPI #1346965506 in Mentor, Ohio

Provider Information

NPI Number
1346965506
Entity Type
Individual
Name
Jordon M Distad, LPCC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPCC
Enumeration Date
Oct 10, 2022
Last Updated
Oct 10, 2022

Practice Location

Address
8224 MENTOR AVE STE 208
City
Mentor
State
Ohio
ZIP Code
44060-5743
Phone
(440) 392-2222

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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