Individual provider · Type 1 NPI
Jill Marie Staloch, MA, LPCC
Professional Counselor · Jordan, MN
NPI number
1265677256
Active
Practice location
6245 W 214th St
Jordan, MN 55352-8646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 137856 (IA) |
| Professional Counselor Primary | 101YP2500X | 209 (MN) |
| Professional Counselor | 101YP2500X | 12241-125 (WI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Jordan
About NPI 1265677256
Jill Marie Staloch, MA, LPCC's National Provider Identifier is 1265677256, issued on Dec 5, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jordan, MN. The record was last updated on Apr 17, 2026.