Search › Minnesota › 1041C0700X

Shannon Jackson, MSW, LICSW, LADC

NPI 1194615336 · on the registry since 2025

Practice

Address
120 W 2nd St
Duluth, MN 55802
Phone
(218) 728-4491
Fax
(218) 728-4404
Clinicians at this address
18

Additional practice sites

  • 4720 Burning Tree Rd, Duluth, MN
  • 40 11th St, Cloquet, MN
  • 325 11th Ave, Two Harbors, MN
  • 810 E 4th St, Duluth, MN
  • 1401 East 1st Street, Duluth, MN

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota