Individual provider · Type 1 NPI
Jessica Ann Bakken, LADC, LICSW
Addiction (Substance Use Disorder) Counselor · Apple Valley, MN
NPI number
1073269841
Active
Practice location
13503 Eveleth Way
Apple Valley, MN 55124-5706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 25353 (MN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302693 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1073269841
Jessica Ann Bakken, LADC, LICSW's National Provider Identifier is 1073269841, issued on Mar 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Apple Valley, MN. The record was last updated on Mar 1, 2022.