Individual
MR. JILL SIDLINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1320 11TH ST NW, STE A, CLINTON, IA 52732
(563) 243-4490
(563) 243-4585
Mailing address
1320 11TH ST NW, STE A, CLINTON, IA 52732
(563) 243-4490
(563) 243-4585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00770
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00770
STATE LICENSE LMHC
IA
Enumeration date
04/10/2006
Last updated
07/08/2007
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