Individual provider · Type 1 NPI

Jillian Marie Ellingson, LPCC

Professional Counselor · Minneapolis, MN

NPI number 1891027454 Active

Practice location

2649 Park Ave
Minneapolis, MN 55407-1006

Call (612) 676-1604 Map

Fax (612) 379-8235

Mailing address

7066 Stillwater Blvd N
Oakdale, MN 55128-3937

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00097 (MN)

Professional Counselor: Definition to come...

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About NPI 1891027454

Jillian Marie Ellingson, LPCC's National Provider Identifier is 1891027454, issued on Feb 8, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 8, 2010.