Ristau, Jillian Jae

Ristau, Jillian Jae is an individual health care provider with primary practice located at 215 Se 2Nd Ave , Grand Rapids MN 55744-3615. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ristau, Jillian Jae can be contacted via phone (218) 326-1274.

Contact Information

Primary practice address
215 Se 2Nd Ave Grand Rapids MN 55744-3615
Phone: (218) 326-1274
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 01757 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 2984 Minnesota

Profile Details

NPI number 1437522984
LBN Legal business name Ristau, Jillian Jae
Credentials MS, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Sep 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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