Individual
CHANTEL ALEXUS JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 BRYANT AVE N, MINNEAPOLIS, MN 55430-3588
(612) 284-8115
(763) 273-8892
Mailing address
7191 17TH ST N, OAKDALE, MN 55128-5405
(651) 235-7232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3983
MN
Other
Enumeration date
10/11/2018
Last updated
09/03/2025
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