Individual
JILL ERLANDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 S HALLIBURTON ST, KIRKSVILLE, MO 63501-4646
(660) 620-8496
Mailing address
21822 LOST BRANCH WAY, BRASHEAR, MO 63533-2340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014040792
MO
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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