Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | LP6733 | MN |
NPI | 1093359457 |
---|---|
Provider Name | Dr. Jill Helgemoe |
First Address | Saint Paul, MN 55104-4201 |
Second Address | Saint Paul, MN 55104-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2019 |
Last Update Date | 22/12/2021 |