JACQUELINE MARIE JENNISSEN ADC-T
NPI 1871456632
Counselor - Addiction (Substance Use Disorder) in Cloquet, MN
About Jacqueline Marie Jennissen Adc-t NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE JENNISSEN ADC-T (NPI 1871456632) is an individual addiction (substance use disorder) provider in Cloquet, Minnesota, licensed in Minnesota (3126) and active in the NPI registry since December 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLOQUET, MN 55720
CLOQUET, MN 55720
CLOQUET, MN 55720
CLOQUET, MN 55720
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 Jacqueline Jennissen's NPI number?
The NPI number for Jacqueline Jennissen is 1871456632. It was assigned to this individual provider in the NPPES registry on December 8, 2025.
Where is Jacqueline Jennissen located?
Jacqueline Jennissen practices at 1003 Cloquet Ave Ste 117, Cloquet, MN 55720. The listed phone number is (218) 879-5545.
What is Jacqueline Jennissen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Jacqueline Jennissen was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Marie Jennissen, ADC-T · NPI 1871456632
Addiction (Substance Use Disorder) provider in Cloquet, Minnesota. Individual provider, active in the CMS NPPES registry since December 8, 2025.
## Identity
- **NPI:** 1871456632 (Entity type: Individual)
- **Enumerated:** December 8, 2025
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 3126 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1003 CLOQUET AVE STE 117, Cloquet, MN 55720-1649
- **Phone:** (218) 879-5545
## Record status
- **NPPES last updated:** December 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871456632) · Data from the CMS NPPES public registry.