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

Mr. Jeremy Shane Van Tassel, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265297501

Mr. Jeremy Shane Van Tassel, LADC is an Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

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

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Practice location Address checks out

1112 7th St NW
Rochester, MN 55901-1732
Phone: (507) 289-2089
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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 306946 (MN)

Record details

NPI number1265297501
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedFebruary 15, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

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