IndividualActive
Marilyn Matejka, L.A.D.C.
NPI 1689740623 · Addiction (Substance Use Disorder) Counselor · Jackson, MN
Provider details
- NPI number
- 1689740623
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- L.A.D.C.
- Sex
- Female
- Sole proprietor
- No
- License
- 300459 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
308 W Ashley St
Jackson, MN 56143-1568
Phone: (507) 847-3148
Fax: (507) 847-3206
Approximate (ZIP-level) locationGet directions
Mailing address
308 W Ashley St
Jackson, MN 56143-1568
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2008-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.