Individual
JILLEEN DAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0011
(651) 774-0606
Mailing address
3000 AMES CROSSING RD STE 600, EAGAN, MN 55121-2570
(651) 774-0011
(651) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3448
MN
Other
Enumeration date
09/22/2022
Last updated
06/09/2025
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