Individual provider · Type 1 NPI
Hanna Jack, LADC
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1316865371
Active
Practice location
2360 Broadway Ave N
Rochester, MN 55906-4065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 307644 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1316865371
Hanna Jack, LADC's National Provider Identifier is 1316865371, issued on Jul 8, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Jul 8, 2026.