Individual provider · Type 1 NPI

Jordan Gavin Horniak, BS, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1215534771 Active

Practice location

1404 Central Ave NE
Minneapolis, MN 55413-1517

Call (612) 594-8146 Map

Fax (612) 789-8087

Mailing address

2552 Kenzie Ter Apt 128
St. Anthony, MN 55418-4153

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305535 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215534771

Jordan Gavin Horniak, BS, LADC's National Provider Identifier is 1215534771, issued on Oct 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 7, 2020.