Individual
MRS. JILLIAN ELISE HOLTZ DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
5625 CENEX DR, INVER GROVE HEIGHTS, MN 55077-1724
(651) 552-2600
(651) 552-2614
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 552-2600
(651) 552-2614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01738
MN
101YP2500X
Professional Counselor
1898226
WI
Other
Enumeration date
10/01/2013
Last updated
05/03/2019
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