Individual
JOURDAN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
104 CRESTVIEW DR UNIT 104, BIGFORK, MT 59911-3559
(106) 393-8083
Mailing address
439 GRAND DR # 142, BIGFORK, MT 59911-3614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
01/30/2026
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