Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Harrison

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902295306

Jackie Harrison is an Addiction (Substance Use Disorder) Counselor in Minnetonka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

12708 Wayzata Blvd Ste 412
Minnetonka, MN 55305-1916
Phone: (763) 443-4562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1796 (MN)

Record details

NPI number1902295306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJuly 23, 2015

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