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

Jackie Harrison

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902295306

Jackie Harrison is an Addiction (Substance Use Disorder) Counselor in Minnetonka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

12708 Wayzata Blvd Ste 412
Minnetonka, MN 55305-1916
Phone: (763) 443-4562
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1796 (MN)

Record details

NPI number1902295306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJuly 23, 2015
Mailing address12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916

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