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

Jacob Fredrick Van Allen, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1801631767

Jacob Fredrick Van Allen, LADC is an Addiction (Substance Use Disorder) Counselor in Woodbury, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741
Phone: (651) 714-9646
Fax: (651) 714-9647
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 305300 (MN)

Record details

NPI number1801631767
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorYes
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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