Individual provider · Type 1 NPI

Kristen Marie Jackson, MA, LPCC

Professional Counselor · Prior Lake, MN

NPI number 1992385272 Active

Practice location

16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372-9228

Fax (952) 443-4604

Mailing address

PO Box 51
Victoria, MN 55386-0051

Other practice locations

  • 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 · (763) 569-5228
  • 1435 White Oak Dr Ste 200, Chaska, MN 55318-2567 · (952) 443-4600
  • 1772 Stieger Lake Ln Ste 220, Victoria, MN 55386-7723 · (952) 443-4600
  • 15265 Carrousel Way Ste 100, Rosemount, MN 55068-1760 · (952) 443-4600

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC02553 (MN)

Professional Counselor: Definition to come...

13 other providers at this address

Other professional counselor providers in Prior Lake

See all in Prior Lake →

About NPI 1992385272

Kristen Marie Jackson, MA, LPCC's National Provider Identifier is 1992385272, issued on Apr 12, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prior Lake, MN. The record was last updated on May 28, 2021.