Individual
JILLIAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
721 COMMERCE DRIVE, WOODBURY, MN 55125
(612) 767-7222
(612) 728-5301
Mailing address
721 COMMERCE DR., WOODBURY, MN 55125
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2582
MN
Other
Enumeration date
07/27/2017
Last updated
01/23/2024
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