Jennifer A Tillisch, LAC is an addiction (substance use disorder) counselor in Fargo, ND. Jennifer A Tillisch, LAC NPI is 1992043038. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4227 9TH AVE SW
FARGO, ND
ZIP 58103-018
Phone: (701) 478-9535
Fax: (701) 365-0021
The enumeration date for this NPI number is 1/24/2013 and was last updated on 1/24/2013.