Individual
JORDAN ROSE LEONHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
1111 28TH ST NE, AUSTIN, MN 55912-6410
(507) 434-4366
(507) 433-7868
Mailing address
1111 28TH ST NE, AUSTIN, MN 55912-6410
(507) 434-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01405
MN
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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