Individual provider · Type 1 NPI
Jennifer Illis
Professional Counselor · Bedminster, NJ
NPI number
1376339861
Active
Practice location
82 Wescott Rd
Bedminster, NJ 07921-2003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC01035500 (NJ) |
Professional Counselor: Definition to come...
Other professional counselor providers in Bedminster
About NPI 1376339861
Jennifer Illis's National Provider Identifier is 1376339861, issued on Apr 19, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bedminster, NJ. The record was last updated on May 9, 2025.