Individual
ILISSA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6230 10TH ST N STE 220, OAKDALE, MN 55128-6160
(651) 755-4276
(888) 972-5307
Mailing address
31149 CEDAR CREST TRL NE, NORTH BRANCH, MN 55056-6489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303793
MN
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174955397
—
MN
Enumeration date
09/06/2019
Last updated
09/19/2025
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