Individual provider · Type 1 NPI

Jordan Gretz, LADC

Addiction (Substance Use Disorder) Counselor · Mankato, MN

NPI number 1972199404 Active

Practice location

201 N Broad St Ste 200
Mankato, MN 56001-3569

Fax (507) 225-1501

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306117 (MN)

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

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About NPI 1972199404

Jordan Gretz, LADC's National Provider Identifier is 1972199404, issued on Dec 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mankato, MN. The record was last updated on Aug 6, 2026.