Provider Demographics
NPI:1598289969
Name:MYHRE, JORDAN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:MYHRE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:HEMPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 SILVER LAKE RD NW STE 110
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-1789
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:651-628-0411
Practice Address - Street 1:1714 BUNKER LAKE BLVD NW STE 108
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-4091
Practice Address - Country:US
Practice Address - Phone:763-415-7386
Practice Address - Fax:763-330-2831
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional