Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN MARIE JACKSON, MA, LPCC
ActiveProfessional Counselor · PRIOR LAKE, MN
Registration Details
- NPI Number
- 1992385272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2021 (5.0282658125309 yrs)
- Last Updated
- May 28, 2021
- License
-
CC02553 (MN)
Practice Information
- Address
-
16180 HASTINGS AVE SE STE 205PRIOR LAKE, MN, 553729228Browse MN providers · Browse ZIP 55372
- Phone
- 9524434600
- Fax
- 9524434604
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in PRIOR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| ZACHARY THOMAS KAHMEYER | M.A., LPCC | 1770985954 |
| TAYLOR STOTZ | MA, LPCC, R-DMT | 1033800065 |
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.