Individual
JILL LINDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 444-5155
(218) 333-3921
Mailing address
403 4TH ST NW STE 300, BEMIDJI, MN 56601-3196
(218) 751-3280
(218) 751-3298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302430
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063892511
—
MN
Enumeration date
05/30/2015
Last updated
01/25/2023
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