Individual
ANASTASIA JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8017 3RD AVE S, BLOOMINGTON, MN 55420-1215
(651) 359-5054
Mailing address
8017 3RD AVE S, BLOOMINGTON, MN 55420-1215
(651) 359-5054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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