Individual
JORDAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 CARLSON PKWY APT 105, MINNETONKA, MN 55305-5328
(763) 744-7359
Mailing address
360 CARLSON PKWY APT 105, MINNETONKA, MN 55305-5328
(763) 744-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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