Provider Demographics
NPI:1063654598
Name:HILL, JUNEAU RONNYE (LICSW)
Entity type:Individual
Prefix:
First Name:JUNEAU
Middle Name:RONNYE
Last Name:HILL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JUNEAU
Other - Middle Name:RONNYE
Other - Last Name:HILL-ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:2800 FREEWAY BLVD STE 118
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55430-1751
Mailing Address - Country:US
Mailing Address - Phone:612-986-3836
Mailing Address - Fax:763-561-1843
Practice Address - Street 1:2800 FREEWAY BLVD STE 118
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55430-1751
Practice Address - Country:US
Practice Address - Phone:612-986-3836
Practice Address - Fax:757-937-0964
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN180961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical