Search › Indiana › 1041C0700X
Jordan Peterson Stephan, LSW
NPI 1700642774 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10016 Monticello Blvd
Fort Wayne, IN 46825 - Phone
- (920) 379-5728
- Organisation at this address
- Folx And Friends Counseling Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana