Individual
MARK DAVID HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSE, LADC
Contact information
Practice address
4615 GRAND AVE STE 330, DULUTH, MN 55807-2749
(218) 207-2132
Mailing address
2231 E 5TH ST APT 6, SUPERIOR, WI 54880-3794
(715) 817-5325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301987
MN
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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