Individual
MR. JOHN LAMONT JANKORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JOHN JANKORD
Contact information
Practice address
5354 PARKDALE DR STE 375, ST LOUIS PARK, MN 55416-1612
(952) 224-0399
(952) 224-0396
Mailing address
5354 PARKDALE DR STE 375, ST LOUIS PARK, MN 55416-1612
(952) 224-0399
(952) 224-0396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301574
MN
101YP2500X
Professional Counselor
00054
MN
106H00000X
Marriage & Family Therapist
Primary
1044
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160708100
—
MN
Enumeration date
08/10/2005
Last updated
10/02/2009
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