Regina Louise Jackson
Regina Louise Jackson is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
2616 Nicollet AveMinneapolis, MN 55408-1628
Phone: (612) 871-7878
Fax: (612) 871-2567
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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 301404 (MN) |
|---|
Record details
| NPI number | 1649460478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 27, 2007 |
| Last updated in NPPES | July 27, 2007 |
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