Individual
MS. JILL HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
5100 GAMBLE DR STE 100, MAIL STOP 31200A, SAINT LOUIS PARK, MN 55416-1582
(952) 541-2500
(952) 541-2539
Mailing address
PO BOX 1309 8170 33RD AVE S, MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 541-2500
(952) 541-2539
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2036
MN
Other
Enumeration date
09/09/2013
Last updated
12/02/2015
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