Individual provider · Type 1 NPI

Jack Rivall

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

NPI number 1326688284 Active

Practice location

287 6th St E Ste 300
St. Paul, MN 55101-1690

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304229 (MN)

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

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About NPI 1326688284

Jack Rivall's National Provider Identifier is 1326688284, issued on Jan 8, 2020. 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 Jan 8, 2020.