Jacqueline Ruth Smalley, LPCC, LADC is a
Counselor - Mental Health based in Afton, Minnesota. Jacqueline Ruth Smalley is licensed to practice in Minnesota (license number CC02558) and her current practice location is
15489 45th St S, Afton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 888-3433.
NPI number for Jacqueline Ruth Smalley is 1124632468 and her current mailing address is 985 Seminary Ave, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124632468.
Healthcare Provider's Profile
Full Name | Jacqueline Ruth Smalley |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 15489 45th St S, Afton, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124632468
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 09/03/2020
Medical Identifiers
Medical identifiers for Jacqueline Ruth Smalley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124632468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CC02558 (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. Jacqueline Ruth Smalley 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 |
Jacqueline Ruth Smalley, LPCC, LADC 985 Seminary Ave, Saint Paul, MN 55104-1526 Ph: (651) 485-8845 | Jacqueline Ruth Smalley, LPCC, LADC 15489 45th St S, Afton, MN 55001-9681 Ph: (612) 888-3433 |
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