Individual
JILL MARTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMFT, LMFT
Contact information
Practice address
1665 UTICA AVE S STE 100, SAINT LOUIS PARK, MN 55416-3476
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2293
MN
Other
Enumeration date
11/09/2015
Last updated
08/11/2021
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