Individual
JILL BUCHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 216-1709
Mailing address
1005 GRAND AVE, SCHOFIELD, WI 54476-1123
(715) 523-9888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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