Individual provider · Type 1 NPI

Jacorey Skottmyhre, LADC

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

NPI number 1639892458 Active

Practice location

1246 University Ave W
St. Paul, MN 55104-4125

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X306474 (MN)

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

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About NPI 1639892458

Jacorey Skottmyhre, LADC's National Provider Identifier is 1639892458, issued on Sep 26, 2022. 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 Sep 26, 2022.