Individual provider · Type 1 NPI

Jacob Fredrick Van Allen, LADC

Addiction (Substance Use Disorder) Counselor · Woodbury, MN

NPI number 1801631767 Active

Practice location

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741

Call (651) 714-9646 Map

Fax (651) 714-9647

Mailing address

240 5th St E Apt 313
St. Paul, MN 55101-1874

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305300 (MN)

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

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About NPI 1801631767

Jacob Fredrick Van Allen, LADC's National Provider Identifier is 1801631767, issued on Jul 1, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodbury, MN. The record was last updated on Jul 1, 2024.