Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Alan Jackson, BS, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891085783

Mr. Kenneth Alan Jackson, BS, LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3329 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 454-2285
Fax: (612) 454-2340
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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 302997 (MN)

Record details

NPI number1891085783
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , LADC
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESApril 12, 2011

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