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Individual

JILLIAN MICHELLE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
1645 ROSE PL, ROSEVILLE, MN 55113-2802
(763) 292-3859
Mailing address
4418 BEARD AVE S APT 315, MINNEAPOLIS, MN 55410-4001
(774) 219-2156

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10002252
MA
101YP2500X
Professional Counselor
11227
WI
101YP2500X
Professional Counselor
Primary
3698
MN
101YP2500X
Professional Counselor
64326
MT

Other

Enumeration date
08/19/2013
Last updated
05/06/2026
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