JENNIFER ILLERS

KINGMAN, AZ
NPI1184872954
Former NameJENNIFER LOUX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2008-09-04
Last Update Date2014-12-16
Business Address
JENNIFER ILLERS
1902 PACIFIC AVE
KINGMAN, AZ 86401
Phone number: 805-781-3535
Mailing Address
JENNIFER ILLERS
1902 PACIFIC AVE
KINGMAN, AZ 86401
Phone number: 805-781-3535