SearchMinnesotaAddiction (Substance Use Disorder) Counselor

Kenneth Jackson, BS, LADC

NPI 1891085783 · on the registry since 2011

Practice

Address
3329 University Ave Se
Minneapolis, MN 55414
Phone
(612) 454-2285
Fax
(612) 454-2340
Organisation at this address
Alliance Clinic
Alliance Clinic, Llc
Alliance Clinic, Llc
Meridian Behaivoral Health
Meridian Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota