Jackson, Kristen Marie
Jackson, Kristen Marie is an individual health care provider with primary practice located at 16180 Hastings Ave Se Ste 205 , Prior Lake MN 55372-9228. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Kristen Marie can be contacted via phone (952) 443-4600.Contact Information
Primary practice address
16180 Hastings Ave Se Ste 205
Prior Lake MN 55372-9228
Phone: (952) 443-4600
Fax: (952) 443-4604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC02553 | Minnesota |
Profile Details
| NPI number | 1992385272 |
|---|---|
| LBN Legal business name | Jackson, Kristen Marie |
| Credentials | MA, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2021 |
| Last updated | May 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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