Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER CONNOLLY, LADC
ActiveJENNIFER CONNOLLY, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COON RAPIDS, Minnesota. NPI 1578288403 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COON RAPIDS, MN
Registration Details
- NPI Number
- 1578288403
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2022 (3.8428418065301 yrs)
- Last Updated
- Oct 4, 2022
- License
-
305835 (MN)
Practice Information
- Address
-
11660 ROUND LAKE BLVD NWCOON RAPIDS, MN, 554332638Browse MN providers · Browse ZIP 55433
- Phone
- 7637673350
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID FARRIS ROGGE | M.A., L.A.D.C. | 1235479247 |
| LUKE GOETTLICHER | LADC | 1427484898 |
| MELISSA LANGEWISCH | BAS, LADC | 1487058020 |
| ERIK ENERSON | — | 1982061727 |
| MRS. NIKISHA LYNNETTE SIMMONS-MACLIN | LADC | 1063870905 |
| JACLYN RACHELLE RICE | — | 1457833204 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.