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Individual

JORDAN ROBERT KNIPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC-S, LICDC

Contact information

Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161955
OH
101YM0800X
Mental Health Counselor
C.1700331
OH
101YP2500X
Professional Counselor
Primary
E.1901499
OH

Other

Enumeration date
03/23/2016
Last updated
11/05/2021
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