person
Jack Kohen, LADC
Addiction (Substance Use Disorder) Counselor in North Mankato, Minnesota
NPI 1740067867

Jack Kohen is an Addiction (Substance Use Disorder) Counselor based in North Mankato, MN and is specialized in Addiction (Substance Use Disorder). Jack Kohen practices in North Mankato, MN and has the professional credentials of LADC. The NPI Number for Jack Kohen is 1740067867 and holds a License No. 306778 (Minnesota).

The current practice location address for Jack Kohen is 1826 Commerce Dr, North Mankato, MN and can be reached out via phone at 507-229-0350 and via fax at 507-216-0371.

Location: 1826 Commerce Dr, North Mankato, MN, 56003-1800
person
Provider Profile Details
NPI Number
1740067867
Provider Name
Jack Kohen
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1826 Commerce Dr, North Mankato, MN, 56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
Provider Enumeration Date
09/12/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
306778 01 MN LADC LICENSE
institution
Provider Business Practice Location Address Details
Address
1826 Commerce Dr
City
State
Zip
56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider Business Mailing Address Details
Address
1826 Commerce Dr
City
State
Zip
56003-1800
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
306778 (Minnesota)
Definition
Definition to come...
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