Individual
JILL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(651) 286-8527
(651) 647-1861
Mailing address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(651) 286-8527
(651) 647-1861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
586
MN
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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