Individual provider · Type 1 NPI
Jordan Hansen, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1487000949
Active
Practice location
1123 Grand Ave Ste 103
St. Paul, MN 55105-2629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303530 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487000949
Jordan Hansen, LADC's National Provider Identifier is 1487000949, issued on May 13, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on May 13, 2016.