Individual
ANGELA D HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1301 ROOSEVELT AVE, DETROIT LAKES, MN 56501-4407
(218) 847-4491
Mailing address
1000 8TH ST SE, DETROIT LAKES, MN 56501-2819
(218) 847-0696
(218) 847-4198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301943
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301943
LADC LICENSE
MN
Enumeration date
04/21/2020
Last updated
11/27/2023
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