Organization
JILL A DONELAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL ANN DONELAN NCC, LPC-MH, QMHP (MENTAL HEALTH THERAPIST)
(605) 480-3683
Entity
Organization
Contact information
Practice address
1711 SUNRISE DR, MADISON, SD 57042-6735
(605) 480-3683
Mailing address
1711 SUNRISE DR, MADISON, SD 57042-6735
(605) 480-3683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCMH2241
SD
Other
Enumeration date
01/21/2015
Last updated
01/22/2015
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