JACOB FREDRICK VAN ALLEN

WOODBURY, MN
NPI1801631767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305300)
Enumeration Date2024-07-01
Last Update Date2024-07-01
Business Address
JACOB FREDRICK VAN ALLEN LADC
1811 WEIR DR STE 270
WOODBURY, MN 55125-6741
Phone number: 651-714-9646
Mailing Address
JACOB FREDRICK VAN ALLEN LADC
240 5TH ST E APT 313
SAINT PAUL, MN 55101-1874
Phone number:
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