Individual provider · Type 1 NPI

Jennifer Lynn Vought, LADC

Addiction (Substance Use Disorder) Counselor · Plymouth, MN

NPI number 1265619225 Active

Practice location

1145 Shenandoah Lane, Telesis Adult Correction Fac.
Plymouth, MN 55447

Fax (763) 475-4297

Mailing address

1911 Pleasant Ave. South, Create, Inc.
Minneapolis, MN 55403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302010 (MN)

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

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About NPI 1265619225

Jennifer Lynn Vought, LADC's National Provider Identifier is 1265619225, issued on Jan 22, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MN. The record was last updated on Jan 22, 2008.