JORDAN HANSEN

SAINT PAUL, MN
NPI1487000949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303530)
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
-- JORDAN HANSEN LADC
1123 GRAND AVE STE 103
SAINT PAUL, MN 55105-2629
Phone number: 612-500-1269
Mailing Address
-- JORDAN HANSEN LADC
1123 GRAND AVE STE 103
SAINT PAUL, MN 55105-2629
Phone number: 612-500-1269
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