Anderson, Jordan Nicholas

Anderson, Jordan Nicholas is an sole proprietor health care provider with primary practice located at 1900 Silver Lake Rd Nw , New Brighton MN 55112-1786. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Anderson, Jordan Nicholas can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Minnesota

Profile Details

NPI number 1952149437
LBN Legal business name Anderson, Jordan Nicholas
Credentials MA, LADC, PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2024
Last updated Jul 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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