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

Kevin Joseph Jacques

Individual provider Mental Health Counselor · NPI 1689229494

Kevin Joseph Jacques is a Mental Health Counselor in Stillwater, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

14949 62nd St N
Stillwater, MN 55082-6132
Phone: (651) 275-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1689229494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESAugust 8, 2019
Mailing address14949 62nd St N, Stillwater, MN 55082-6132

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