Jacob R Poppinga, LADC

NPI #1417556762 in Baxter, Minnesota

Provider Information

NPI Number
1417556762
Entity Type
Individual
Name
Jacob R Poppinga, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Oct 19, 2020
Last Updated
Oct 19, 2020

Practice Location

Address
13045 FALCON DR STE 7404TH
City
Baxter
ZIP Code
56425-4201
Phone
(218) 821-4538

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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