Stephanie Elizabet Jordan, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · North Mankato, MN
NPI 1669958419 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1669958419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 305187 (MN)
- Practice address
- 1826 Commerce Dr
North Mankato, MN 56003-1800 - Phone
- (507) 229-0350
- Fax
- (507) 216-0371
- NPI assigned
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305187 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankato Chemical Health, LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
Locations
360 Pierce Ave
Ste 206
North Mankato, MN 56003
Phone (507) 229-0350
1826 Commerce Dr
North Mankato, MN 56003
Phone (507) 229-0350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305187 | MN | Yes |
Addresses
Primary practice location
1826 Commerce Dr
North Mankato, MN 56003-1800
Mailing address
360 Pierce Ave Ste 206
North Mankato, MN 56003-2250
Phone (507) 229-0350
Other providers in North Mankato, MN
- Katelyn Mae Jensen
- Anna Johnson
- Kelli Johnson
- Madison Jean Johnson
- Megan Raeann Johnson
- Jowhar Transportation Services
- Elissa Marget Karels
- Lora Lee Kelley
- Laurie Kersten-Ulmen
- Graham A. King
All providers in North Mankato, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.