Individual
JEFFREY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5924
MN
103TC0700X
Clinical Psychologist
5924
MN
Other
Enumeration date
10/12/2015
Last updated
07/26/2021
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