| Ilissa Jones, MA | |
|
12814 Lake Blvd, Lindstrom, MN 55045-9345 | |
| (651) 755-4276 | |
| Not Available |
| Full Name | Ilissa Jones |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 12814 Lake Blvd, Lindstrom, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487203030 | NPI | - | NPPES |
| 1174955397 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303793 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ilissa Jones, MA 31149 Cedar Crest Trl Ne, North Branch, MN 55056-6489 Ph: () - | Ilissa Jones, MA 12814 Lake Blvd, Lindstrom, MN 55045-9345 Ph: (651) 755-4276 |
Carla Marie Mckean, MA LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-755-4276 Fax: 888-972-5307 | |
Ms. Jennifer L. Coolidge, M.A., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12330 Lindstrom Ln, Lindstrom, MN 55045 Phone: 612-799-8532 | |
Bradley Clark, MA LPCC LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-755-4276 Fax: 888-972-5307 | |
Paul Eric Melby, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 12295 Lake Blvd, Lindstrom, MN 55045 Phone: 612-799-8532 | |
Diana Allen Bjorkman, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28533 Lakeside Trl, Lindstrom, MN 55045 Phone: 651-894-4822 |