John Francis Gorman
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Princeton, MN
NPI 1831449933 · NPPES record last updated Sep 16, 2012
Key facts
- NPI
- 1831449933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 301764 (MN)
- Practice address
- 1506 1St St
Princeton, MN 55371-1462 - Phone
- (763) 389-5080
- Fax
- (763) 389-5453
- NPI assigned
- Sep 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301764 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 301764 | MN | Yes |
Addresses
Primary practice location
1506 1St St
Princeton, MN 55371-1462
Mailing address
210 15TH Ave N
Apartment 205
Waite Park, MN 56387-1197
Phone (952) 201-6490
Other providers in Princeton, MN
- Michael Robert Gibbs
- Kathryn Girtz
- Glasswing Counseling and Wellness, LLC
- Sara Jesse Gleason
- Kaitlyn Gohman
- Hilary Ann Greene
- Lisa M. Guetzko
- Amy Louise Gunderson-McNeil
- Karen Marie Hall
- Healing Spirit Clinic PLC
All providers in Princeton, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.