Individual
JILL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 EUSTIS ST APT H, SAINT PAUL, MN 55108-1211
(612) 804-8115
Mailing address
1550 EUSTIS ST APT H, SAINT PAUL, MN 55108-1211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02362
MN
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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