JENNIFER A TILLISCH

FARGO, ND
NPI1992043038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1688)
Enumeration Date2013-01-24
Last Update Date2013-01-24
Business Address
-- JENNIFER A TILLISCH LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-478-9535
Mailing Address
-- JENNIFER A TILLISCH LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-478-9535
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