Most Relevant Information
Provider Data
| NPI Number: | 1003025008 |
| Provider Name: | JILL MARIE STANGER MS, LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 1535 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 04/17/2018 |
Provider Practice Location
1665 UTICA AVE S
SUITE 100
SAINT LOUIS PARK
MN
55416
Practice Location Phone/Fax
| Phone: | 9525412500 |
| Fax: | 9525412539 |
Provider Mailing Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
| Phone: | 9525412500 |
| Fax: | 9525412539 |