Jankord, John Lamont

Jankord, John Lamont is an individual health care provider with primary practice located at 5354 Parkdale Dr Ste 375 , St Louis Park MN 55416-1612. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Jankord, John Lamont can be contacted via phone (952) 224-0399.

Contact Information

Primary practice address
5354 Parkdale Dr Ste 375 St Louis Park MN 55416-1612
Phone: (952) 224-0399
Fax: (952) 224-0396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301574 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 00054 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1044 Minnesota

Profile Details

NPI number 1215938410
LBN Legal business name Jankord, John Lamont
Credentials JOHN JANKORD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 2nd, 2009 - about 16 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1215938410 NPPES
Minnesota MEDICAID 160708100

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