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DOMINIQUE JACKSON
NPI 1376384065
Marriage & Family Therapist in Lakeville, MN

Active since June 05, 2024
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044(952) 214-8959 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE JACKSON (NPI 1376384065) is an individual marriage & family therapist in Lakeville, Minnesota and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1376384065
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDOMINIQUE JACKSON
Location Address17685 JUNIPER PATH STE 303Lakeville, MN 55044-9821
Mailing Address1032 Stone Creek DrJordan, MN 55352-4577
Phone(952) 214-8959
Sole ProprietorYes
Enumeration DateJune 5, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1376384065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
17685 JUNIPER PATH STE 303, Lakeville, MN 55044
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL LEANNE GARDNER LADC
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MS. FADUMA MOHAMED LGSW
Social Worker (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
SARAH KRISTINE MECKLEY
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MRS. TRACY LORETTA GROCHOW M.A
Counselor (Mental Health)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
DONALD HANDLANG MS, MDIV
Psychologist (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MICHAEL CLIFTON KERSTETTER MA
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
LORI ANNE KLEIN LMFT
Marriage & Family Therapist
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MARY E JUSTIN LPCC
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1376384065. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Dominique Jackson located?

Dominique Jackson practices at 17685 Juniper Path Ste 303, Lakeville, MN 55044. The listed phone number is (952) 214-8959.

What is Dominique Jackson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Dominique Jackson was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.