JACOB POPPINGA

LADC specializing in counselor in Baxter, Minnesota

NPI: 1417556762

Provider Type

1

Practice Locations

Mailing Location

1415 S 6TH ST

BRAINERD, MN 56401

📞 2188214538

Practice Location

13045 FALCON DR STE 7404TH

BAXTER, MN 56425

📞 2188214538

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:10/19/2020
Last Updated:10/19/2020

Credentials

Primary Credential:LADC