JORDAN GAVIN HORNIAK

MINNEAPOLIS, MN
NPI1215534771
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305535)
Enumeration Date2020-10-07
Last Update Date2020-10-07
Business Address
JORDAN GAVIN HORNIAK BS, LADC
1404 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1517
Phone number: 612-594-8146
Mailing Address
JORDAN GAVIN HORNIAK BS, LADC
2552 KENZIE TER APT 128
SAINT ANTHONY, MN 55418-4153
Phone number: 612-998-7049
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