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

Jay Robert Clemens, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841984929

Jay Robert Clemens, LADC is an Addiction (Substance Use Disorder) Counselor in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638
Phone: (763) 767-3350
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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 304813 (MN)

Record details

NPI number1841984929
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

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