person
Mr. Kenneth Alan Jackson, BS,LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1891085783

Kenneth Alan Jackson is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Kenneth Alan Jackson practices in Minneapolis, MN and has the professional credentials of BS,LADC. The NPI Number for Kenneth Alan Jackson is 1891085783 and holds a License No. 302997 (Minnesota).

The current practice location address for Kenneth Alan Jackson is 3329 University Ave Se, Minneapolis, MN and can be reached out via phone at 612-454-2285 and via fax at 612-454-2340.

Location: 3329 University Ave Se, Minneapolis, MN, 55414-3325
person
Provider Profile Details
NPI Number
1891085783
Provider Name
Kenneth Alan Jackson
Credential
BS,LADC
Provider Entity Type
Individual
Gender
Male
Address
3329 University Ave Se, Minneapolis, MN, 55414-3325
Phone Number
612-454-2285
Fax Number
612-454-2340
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2285
Fax Number
612-454-2340
person
Provider Business Mailing Address Details
Address
3329 University Ave Se
City
State
Zip
55414-3325
Phone Number
612-454-2285
Fax Number
612-454-2340
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302997 (Minnesota)
Definition
Definition to come...
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