person
Jacob R Poppinga, LADC
Addiction (Substance Use Disorder) Counselor in Baxter, Minnesota
NPI 1417556762

Jacob R Poppinga is an Addiction (Substance Use Disorder) Counselor based in Brainerd, MN and is specialized in Addiction (Substance Use Disorder). Jacob R Poppinga practices in Baxter, MN and has the professional credentials of LADC. The NPI Number for Jacob R Poppinga is 1417556762 and holds a License No. 305402 (Minnesota).

The current practice location address for Jacob R Poppinga is 13045 Falcon Dr Ste 7404Th, Baxter, MN and can be reached out via phone at 218-821-4538.

Location: 13045 Falcon Dr Ste 7404Th, Baxter, MN, 56401-4347
person
Provider Profile Details
NPI Number
1417556762
Provider Name
Jacob R Poppinga
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
13045 Falcon Dr Ste 7404Th, Baxter, MN, 56401-4347
Phone Number
218-821-4538
Fax Number
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13045 Falcon Dr Ste 7404Th
City
State
Zip
56425-4201
Phone Number
218-821-4538
Fax Number
person
Provider Business Mailing Address Details
Address
13045 Falcon Dr Ste 7404Th
City
State
Zip
56425-4201
Phone Number
218-821-4538
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305402 (Minnesota)
Definition
Definition to come...
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