Provider Demographics
NPI:1295041184
Name:HILLMAN, JENNIFER A (LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:A
Other - Last Name:HILLMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1165 ARCADE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-2615
Mailing Address - Country:US
Mailing Address - Phone:651-772-5561
Mailing Address - Fax:651-772-5566
Practice Address - Street 1:1165 ARCADE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2615
Practice Address - Country:US
Practice Address - Phone:651-772-5561
Practice Address - Fax:651-772-5566
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist