Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE HARRISON
Active Sole ProprietorJACKIE HARRISON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MINNETONKA, Minnesota. NPI 1902295306 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MINNETONKA, MN
Registration Details
- NPI Number
- 1902295306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2015 (11.516852781834 yrs)
- Last Updated
- Jul 23, 2015
- License
-
1796 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12708 WAYZATA BLVDSUITE 412MINNETONKA, MN, 553051916Browse MN providers · Browse ZIP 55305
- Phone
- 7634434562
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MINNETONKA, MN
| Name | Credential | NPI |
|---|---|---|
| SCOTT C WASHBURN | LADC | 1093856502 |
| TARA M BAUMAN | LADC LGSW | 1649311150 |
| MR. GLEN BRIAN ROBINSON | LADC | 1306023262 |
| LISA LYNN CAMERON | LADC | 1154670610 |
| MS. LALAINE ARBUTHNOT ORTLIEB | MA, BCC, LADC | 1780093500 |
| MR. TODD WILSON | LADC | 1316314131 |
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.