Jordan Paris Leuthold, MS, LPCC Valid NPI
Individual provider · Professional Counselor · Rogers, MN
- NPI
- 1306404686
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- CC02131 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-06-03
- Last updated
- 2019-06-03
Practice location
21395 John Milless Dr Ste 400
Rogers, MN 55374-4407
(763) 424-1888