KENNETH ALAN JACKSON

MINNEAPOLIS, MN
NPI1891085783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302997)
Enumeration Date2011-04-12
Last Update Date2011-04-12
Business Address
Mr. KENNETH ALAN JACKSON BS, LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2285
Mailing Address
Mr. KENNETH ALAN JACKSON BS, LADC
3329 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414-3325
Phone number: 612-454-2285
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