Individual provider · Type 1 NPI

Jamie Lee Henson, LICSW, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1326685645 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X18513 (MN)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304057 (MN)

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

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About NPI 1326685645

Jamie Lee Henson, LICSW, LADC's National Provider Identifier is 1326685645, issued on Dec 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Dec 5, 2019.