Individual provider · Type 1 NPI

Jessica Rae Stock, LADC

Addiction (Substance Use Disorder) Counselor · Mendota Heights, MN

NPI number 1174477350 Active

Practice location

1155 Northland Dr
Mendota Heights, MN 55120-1288

Call (612) 223-8898 Map

Mailing address

3692 154th St W
Rosemount, MN 55068-1791

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306051 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174477350

Jessica Rae Stock, LADC's National Provider Identifier is 1174477350, issued on Feb 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mendota Heights, MN. The record was last updated on Feb 24, 2026.