Individual provider · Type 1 NPI
Jennifer A. Tillisch, LAC
Addiction (Substance Use Disorder) Counselor · Fargo, ND
NPI number
1992043038
Active
Practice location
4227 9th Ave SW
Fargo, ND 58103-2018
Fax (701) 365-0021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1688 (ND) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
7 other providers at this address
- Molly SiegertAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1891172540
- Orville S. Mandan, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1710150099
- Roberta R. Nelson, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1285874537
- Sadie Olson, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1912348905
- Steven D. Gordon, LADCAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1063652543
- Susan Theresa Gordon, LADCAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1275729881
- William P. Sparke, LICSWClinical Social Worker Fargo, ND NPI 1699891648
Other addiction (substance use disorder) counselor providers in Fargo
- Sara L. Nicoli, M.ED, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1013929371
- Sandra Kaye Hove, ADDICTION THERAPISTAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1033313796
- Connie Longie, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1043450521
- Tamara Marie Madler, LCSW, LAC, LICSWAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1053474411
- Cassie Marie Kasowski I, LACAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1053821090
- Morgan Christine Bosley, LAC, LADCAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1063244879
- Steven D. Gordon, LADCAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1063652543
- Addy Nelson, LSWAddiction (Substance Use Disorder) Counselor Fargo, ND NPI 1063937472
About NPI 1992043038
Jennifer A. Tillisch, LAC's National Provider Identifier is 1992043038, issued on Jan 24, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Jan 24, 2013.