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Ilissa Jones, MA
Professional Counselor in Lindstrom, Minnesota
NPI 1487203030

Ilissa Jones is a Professional Counselor based in North Branch, MN and is specialized in Professional. Ilissa Jones practices in Lindstrom, MN and has the professional credentials of MA. The NPI Number for Ilissa Jones is 1487203030 and holds a License No. 303793 (Minnesota).

The current practice location address for Ilissa Jones is 12814 Lake Blvd, Lindstrom, MN and can be reached out via phone at 651-755-4276.

Location: 12814 Lake Blvd, Lindstrom, MN, 55056-6489
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Provider Profile Details
NPI Number
1487203030
Provider Name
Ilissa Jones
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
12814 Lake Blvd, Lindstrom, MN, 55056-6489
Phone Number
651-755-4276
Fax Number
Provider Enumeration Date
09/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174955397 05 MN
institution
Provider Business Practice Location Address Details
Address
12814 Lake Blvd
City
State
Zip
55045-9345
Phone Number
651-755-4276
Fax Number
person
Provider Business Mailing Address Details
Address
12814 Lake Blvd
City
State
Zip
55045-9345
Phone Number
651-755-4276
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
303793 (Minnesota)
Definition
Definition to come...
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