Jessica Ann Bakken, LADC, LICSW is a
Counselor - Addiction (substance Use Disorder) based in Apple Valley, Minnesota. Jessica Ann Bakken is licensed to practice in Minnesota (license number 302693) and her current practice location is
13503 Eveleth Way, Apple Valley, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 318-9806.
NPI number for Jessica Ann Bakken is 1073269841 and her current mailing address is 13503 Eveleth Way, Apple Valley, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073269841.
Healthcare Provider's Profile
| Full Name | Jessica Ann Bakken |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 13503 Eveleth Way, Apple Valley, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073269841
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 03/01/2022
Medical Identifiers
Medical identifiers for Jessica Ann Bakken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073269841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 25353 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302693 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Ann Bakken is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Ann Bakken, LADC, LICSW
13503 Eveleth Way,
Apple Valley, MN 55124-5706
Ph: (507) 318-9806 | Jessica Ann Bakken, LADC, LICSW
13503 Eveleth Way,
Apple Valley, MN 55124-5706
Ph: (507) 318-9806 |
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