Individual
JILLIAN MARIE ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2649 PARK AVE, MINNEAPOLIS, MN 55407-1006
(612) 676-1604
(612) 379-8235
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(612) 676-1604
(612) 379-8235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00097
MN
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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