Individual provider · Type 1 NPI

Jaclyn Marie Melander, LADC

Addiction (Substance Use Disorder) Counselor · Minnetonka, MN

NPI number 1780581769 Active

Practice location

13100 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1810

Call (952) 206-2040 Map

Fax (952) 206-2041

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X307614 (MN)

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

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About NPI 1780581769

Jaclyn Marie Melander, LADC's National Provider Identifier is 1780581769, issued on Oct 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minnetonka, MN. The record was last updated on Oct 30, 2026.