| Kristen Marie Jackson, MA, LPCC | |
|
16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228 | |
| (952) 443-4600 | |
| (952) 443-4604 |
| Full Name | Kristen Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 16180 Hastings Ave Se Ste 205, Prior Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992385272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC02553 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Marie Jackson, MA, LPCC Po Box 51, Victoria, MN 55386-0051 Ph: (952) 443-4600 | Kristen Marie Jackson, MA, LPCC 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228 Ph: (952) 443-4600 |
Dennis Nelson, BS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6164 | |
Taylor Stotz, MA, LPCC, R-DMT Counselor Medicare: Medicare Enrolled Practice Location: 16180 Hastings Ave Se, Prior Lake, MN 55372 Phone: 952-443-4604 | |
Rachel Grantham, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2330 Sioux Trl Nw, Prior Lake, MN 55372 Phone: 952-496-6164 | |
Mya Marie Badillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3733 Fox Tail Trl Nw, Prior Lake, MN 55372 Phone: 612-438-9204 | |
Wade Keller, MA, LAMFT Counselor Medicare: Medicare Enrolled Practice Location: 15852 Pennsylvania Ave, Prior Lake, MN 55372 Phone: 612-991-2937 | |
Kristy Dunham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2860 179th St E, Prior Lake, MN 55372 Phone: 952-594-0307 | |
Emily Lyn Schroeder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3733 Fox Tail Trl Nw, Prior Lake, MN 55372 Phone: 507-350-2120 |