Jordan Lande, LCSW

NPI #1346987625 in Ponderay, Idaho

Provider Information

NPI Number: 1346987625
Entity Type: Individual
Name: Jordan Lande, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 17, 2022
Last Updated: May 17, 2022

Practice Location

Address: 27 LAVENDER LN
City: Ponderay
State: Idaho
ZIP Code: 83852-5107
Phone: (406) 465-2465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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