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IndividualActive

Jennifer A Tillisch

LAC

Counselor - Addiction (Substance Use Disorder)

NPI: 1992043038Fargo, North Dakota, 58103(701) 478-9535Female

About Jennifer A Tillisch

Jennifer A Tillisch, LAC, is a female healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1992043038.

Their primary practice is located at 4227 9TH AVE SW, Fargo, North Dakota 58103. Patients can reach the office at (701) 478-9535. Jennifer A Tillisch has been NPI-registered since 2013.

Doctor Details

Identity & Credentials

NPI Number
1992043038
Entity Type
Individual
First Name
Jennifer
Last Name
Tillisch
Credential
LAC
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
4227 9TH AVE SW
City
Fargo
State
North Dakota
ZIP
58103-2018
Country
United States
Phone
(701) 478-9535
Fax
(701) 365-0021

Specialty & Taxonomy

Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Classification
Counselor
Specialization
Addiction (Substance Use Disorder)
Taxonomy Code
101YA0400X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
4227 9TH AVE SW
City
FARGO
State
ND
ZIP
581032018

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jennifer A Tillisch's NPI number?
Jennifer A Tillisch's National Provider Identifier (NPI) is 1992043038. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jennifer A Tillisch specialize in?
Jennifer A Tillisch specializes in Counselor - Addiction (Substance Use Disorder).
Where is Jennifer A Tillisch located?
Jennifer A Tillisch practices at 4227 9TH AVE SW, Fargo, North Dakota 58103. You can reach them by phone at (701) 478-9535.
Does Jennifer A Tillisch accept Medicare?
Based on available data, Jennifer A Tillisch is not currently enrolled in the Medicare program.
Does Jennifer A Tillisch offer telehealth or virtual visits?
Jennifer A Tillisch does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jennifer A Tillisch is 1992043038.