| Jordan Lande, LCSW | |
|
27 Lavender Ln, Ponderay, ID 83852-5107 | |
| (406) 465-2465 | |
| Not Available |
| Full Name | Jordan Lande |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 27 Lavender Ln, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346987625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-48937 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lande, LCSW 27 Lavender Ln, Ponderay, ID 83852-5107 Ph: () - | Jordan Lande, LCSW 27 Lavender Ln, Ponderay, ID 83852-5107 Ph: (406) 465-2465 |
Anna Louise Lawrence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-255-3314 Fax: 208-263-4198 | |
Sadie Green, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-255-3334 |