Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supportive Change Counseling & Consulting

Organization Mental Health Counselor · NPI 1235016106

Supportive Change Counseling & Consulting is a Mental Health Counselor in Roseville, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2335 Woodbridge St Apt 338
Roseville, MN 55113-4763
Phone: (612) 367-7287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1235016106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Jackson — Owner / Clinical Director · (612) 367-7287
Other names Supportive Change Counseling
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address202 N Cedar Ave Ste 1, Owatonna, MN 55060-2306

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