Individual
JORDAN KAURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7802 QUIGLEY RD, OMRO, WI 54963-9368
(920) 427-2598
Mailing address
222 MADISON AVE, OMRO, WI 54963-1459
(920) 427-2598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11885-125
WI
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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