Individual provider · Type 1 NPI

Jillian Jae Ristau, MS, LPCC

Professional Counselor · Grand Rapids, MN

NPI number 1437522984 Active

Practice location

215 SE 2nd Ave
Grand Rapids, MN 55744-3615

Call (218) 326-1274 Map

Mailing address

PO Box 636
Keewatin, MN 55753-0636

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X01757 (MN)
Professional Counselor Primary 101YP2500X2984 (MN)

Professional Counselor: Definition to come...

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About NPI 1437522984

Jillian Jae Ristau, MS, LPCC's National Provider Identifier is 1437522984, issued on Nov 5, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 2, 2021.