Individual
GREGORY SCOTT JERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
401 16TH ST SE STE 100, ROCHESTER, MN 55904-7974
(507) 516-0030
Mailing address
401 16TH ST SE STE 100, ROCHESTER, MN 55904-7974
(507) 516-0030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305692
MN
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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