Individual provider · Type 1 NPI

Jac Clingerman, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1821731258 Active

Practice location

2104 Stevens Ave
Minneapolis, MN 55404-2533

Mailing address

1305 Madison St Apt 318
St. Paul, MN 55116-3319

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1821731258

Jac Clingerman, LADC's National Provider Identifier is 1821731258, issued on Apr 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 14, 2022.