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

Jacob R Moll

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659182277

Jacob R Moll is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

525 Portland Ave # MC963
Minneapolis, MN 55415-1533
Phone: (612) 596-1223
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4682 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306771 (MN)

Record details

NPI number1659182277
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 13, 2025

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