Individual
NANCY LYNN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
8451 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3331
(651) 255-8558
(651) 458-5632
Mailing address
8451 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3331
(651) 255-8558
(651) 458-5632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304305
MN
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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