person
Jordan Gavin Horniak, BS,LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1215534771

Jordan Gavin Horniak is an Addiction (Substance Use Disorder) Counselor based in Saint Anthony, MN and is specialized in Addiction (Substance Use Disorder). Jordan Gavin Horniak practices in Minneapolis, MN and has the professional credentials of BS,LADC. The NPI Number for Jordan Gavin Horniak is 1215534771 and holds a License No. 305535 (Minnesota).

The current practice location address for Jordan Gavin Horniak is 1404 Central Ave Ne, Minneapolis, MN and can be reached out via phone at 612-594-8146 and via fax at 612-789-8087.

Location: 1404 Central Ave Ne, Minneapolis, MN, 55418-4153
person
Provider Profile Details
NPI Number
1215534771
Provider Name
Jordan Gavin Horniak
Credential
BS,LADC
Provider Entity Type
Individual
Gender
Male
Address
1404 Central Ave Ne, Minneapolis, MN, 55418-4153
Phone Number
612-594-8146
Fax Number
612-789-8087
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NOTHING 01 NOTHING
institution
Provider Business Practice Location Address Details
Address
1404 Central Ave Ne
City
State
Zip
55413-1517
Phone Number
612-594-8146
Fax Number
612-789-8087
person
Provider Business Mailing Address Details
Address
1404 Central Ave Ne
City
State
Zip
55413-1517
Phone Number
612-594-8146
Fax Number
612-789-8087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305535 (Minnesota)
Definition
Definition to come...
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