Individual
JESSICA RAE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Mailing address
3692 154TH ST W, ROSEMOUNT, MN 55068-1791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306051
MN
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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