Provider Demographics
NPI:1033735717
Name:NEIMAN, JILLE (LPCC)
Entity Type:Individual
Prefix:
First Name:JILLE
Middle Name:
Last Name:NEIMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JILLE
Other - Middle Name:
Other - Last Name:NEIMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:7602 YORK AVE S APT 7115
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5945
Mailing Address - Country:US
Mailing Address - Phone:612-251-8320
Mailing Address - Fax:
Practice Address - Street 1:7602 YORK AVE S APT 7115
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5945
Practice Address - Country:US
Practice Address - Phone:612-251-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health