Individual
JORDANA PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 2ND ST SW, 1, WADENA, MN 56482-1482
(218) 631-1714
Mailing address
11 2ND ST SW, 1, WADENA, MN 56482-1482
(218) 631-1714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303808
MN
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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