Individual
JORDAN JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
8079 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 261-5015
Mailing address
509 S SUNRISE DR, GILBERT, AZ 85233-6732
(480) 490-8505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-17749
AZ
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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