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

Jacorey Skottmyhre, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639892458

Jacorey Skottmyhre, LADC is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1246 University Ave W
Saint Paul, MN 55104-4125
Phone: (651) 333-4855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 306474 (MN)

Record details

NPI number1639892458
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 15, 2022

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