Individual
CASH JACKSON STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1017 RAYMOND AVE APT 7, SAINT PAUL, MN 55114-1165
(719) 200-5765
Mailing address
1017 RAYMOND AVE APT 7, SAINT PAUL, MN 55114-1165
(719) 200-5765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302227
MN
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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