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Organization
ILLUMIN8 PSYCHOTHERAPY AND INTEGRATIVE HEALTH
Active
Organization
ILLUMIN8 PSYCHOTHERAPY AND INTEGRATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL JORDAN LPCC (FOUNDER)
(651) 235-7232
Entity
Organization
Contact information
Practice address
7191 17TH ST N, OAKDALE, MN 55128-5405
(651) 235-7232
Mailing address
7191 17TH ST N, OAKDALE, MN 55128-5405
(651) 235-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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