person
Jennifer A Tillisch, LAC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1992043038

Jennifer A Tillisch is an Addiction (Substance Use Disorder) Counselor based in Fargo, ND and is specialized in Addiction (Substance Use Disorder). Jennifer A Tillisch practices in Fargo, ND and has the professional credentials of LAC. The NPI Number for Jennifer A Tillisch is 1992043038 and holds a License No. 1688 (North Dakota).

The current practice location address for Jennifer A Tillisch is 4227 9Th Ave Sw, Fargo, ND and can be reached out via phone at 701-478-9535 and via fax at 701-365-0021.

Location: 4227 9Th Ave Sw, Fargo, ND, 58103-2018
person
Provider Profile Details
NPI Number
1992043038
Provider Name
Jennifer A Tillisch
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
4227 9Th Ave Sw, Fargo, ND, 58103-2018
Phone Number
701-478-9535
Fax Number
701-365-0021
Provider Enumeration Date
01/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-478-9535
Fax Number
701-365-0021
person
Provider Business Mailing Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-478-9535
Fax Number
701-365-0021
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1688 (North Dakota)
Definition
Definition to come...
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