person
Hayward Corker II
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1548699895

Hayward Corker II is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Hayward Corker II practices in Minneapolis, MN. The NPI Number for Hayward Corker II is 1548699895 and holds a License No. 301563 (Minnesota).

The current practice location address for Hayward Corker II is 1500 Golden Valley Rd, Minneapolis, MN and can be reached out via phone at 612-302-4109 and via fax at 612-520-0047.

Location: 1500 Golden Valley Rd, Minneapolis, MN, 55411-3139
person
Provider Profile Details
NPI Number
1548699895
Provider Name
Hayward Corker II
Credential
Provider Entity Type
Individual
Gender
Male
Address
1500 Golden Valley Rd, Minneapolis, MN, 55411-3139
Phone Number
612-302-4109
Fax Number
612-520-0047
Provider Enumeration Date
11/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Golden Valley Rd
City
State
Zip
55411-3139
Phone Number
612-302-4109
Fax Number
612-520-0047
person
Provider Business Mailing Address Details
Address
1500 Golden Valley Rd
City
State
Zip
55411-3139
Phone Number
612-302-4109
Fax Number
612-520-0047
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301563 (Minnesota)
Definition
Definition to come...
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