Jordan Paris Leuthold, MS, LPCC
Counselor, Professional in Rogers, MN. Individual provider (NPI-1).
NPI number1306404686
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1306404686
- Entity type
- Individual (NPI-1)
- Name
- Jordan Paris Leuthold
- Credential
- MS, LPCC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2019
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | cc02131 | MN | Yes |
Practice location
21395 John Milless Dr Ste 400Rogers, MN 55374-4407
Phone 763-424-1888
Mailing address
13477 73rd Pl NMaple Grove, MN 55311-2831
Phone 952-484-6892
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Other Professional Counselor providers in Rogers, MN
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- Michelle RheaNPI 1174122642
- Michelle Saari, LPCCNPI 1164085387
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