Individual provider · Type 1 NPI

Crystal M. Jillson

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1972855567 Active

Practice location

5723 Whittier Blvd
Los Angeles, CA 90022-4222

Fax (323) 721-8631

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972855567

Crystal M. Jillson's National Provider Identifier is 1972855567, issued on Oct 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 8, 2012.