person
Kristen Marie Jackson, MA,LPCC
Professional Counselor in Prior Lake, Minnesota
NPI 1992385272

Kristen Marie Jackson is a Professional Counselor based in Victoria, MN and is specialized in Professional. Kristen Marie Jackson practices in Prior Lake, MN and has the professional credentials of MA,LPCC. The NPI Number for Kristen Marie Jackson is 1992385272 and holds a License No. CC02553 (Minnesota).

The current practice location address for Kristen Marie Jackson is 16180 Hastings Ave Se Ste 205, Prior Lake, MN and can be reached out via phone at 952-443-4600 and via fax at 952-443-4604.

Location: 16180 Hastings Ave Se Ste 205, Prior Lake, MN, 55386-0051
person
Provider Profile Details
NPI Number
1992385272
Provider Name
Kristen Marie Jackson
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Female
Address
16180 Hastings Ave Se Ste 205, Prior Lake, MN, 55386-0051
Phone Number
952-443-4600
Fax Number
952-443-4604
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16180 Hastings Ave Se Ste 205
City
State
Zip
55372-9228
Phone Number
952-443-4600
Fax Number
952-443-4604
person
Provider Business Mailing Address Details
Address
16180 Hastings Ave Se Ste 205
City
State
Zip
55372-9228
Phone Number
952-443-4600
Fax Number
952-443-4604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC02553 (Minnesota)
Definition
Definition to come...
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