| Doctor Name: | JILLIAN PARNOS |
| NPI Number: | 1114182516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CAADC |
| License Number: | 6401008618 |
| Business Practice Address: | 1400 E 12 Mile Rd Madison Heights, MI - 480712651 |
| Business Phone Number: | 2487617992 |
| Business Fax Number: | |
| Mailing Address: | 26507 Alger Blvd, MADISON HEIGHTS |
| State: | MI |
| Postal Code: | 480713504 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6401008618 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |