| Jack Kohen, LADC | |
|
1826 Commerce Dr, North Mankato, MN 56003-1800 | |
| (507) 229-0350 | |
| (507) 216-0371 |
| Full Name | Jack Kohen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1826 Commerce Dr, North Mankato, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740067867 | NPI | - | NPPES |
| 306778 | Other | MN | LADC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306778 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Kohen, LADC 1826 Commerce Dr, North Mankato, MN 56003-1800 Ph: (507) 229-0350 | Jack Kohen, LADC 1826 Commerce Dr, North Mankato, MN 56003-1800 Ph: (507) 229-0350 |
Mrs. Cassie Jane Ramerth, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Commerce Dr, North Mankato, MN 56003 Phone: 507-229-0350 Fax: 507-216-0371 | |
Mr. Shawn Tweten, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Rolling Green Ln, North Mankato, MN 56003 Phone: 612-791-0885 | |
Ms. Lisa J. Matzke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 Lookout Dr Ste 200, North Mankato, MN 56003 Phone: 507-340-5126 Fax: 507-345-8861 | |
Sierra Bales, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Pierce Ave Ste 206, North Mankato, MN 56003 Phone: 507-229-0350 Fax: 507-216-0371 | |
Amanda Lee Burg, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Commerce Dr, North Mankato, MN 56003 Phone: 507-229-0350 | |
Jada Delacruz, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Commerce Dr, North Mankato, MN 56003 Phone: 507-229-0350 Fax: 507-216-0371 | |
Megan Marie Hein, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Pierce Ave Ste 206, North Mankato, MN 56003 Phone: 507-229-0350 Fax: 507-216-0371 |