| Doctor Name: | MS. JILL L. PREIS |
| NPI Number: | 1154319382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW,CADC |
| License Number: | 1994R |
| Business Practice Address: | 7 Weasel Drift Rd West Paterson, NJ - 074242762 |
| Business Phone Number: | 9739258989 |
| Business Fax Number: | 9737420175 |
| Mailing Address: | 7 Weasel Drift Rd, WEST PATERSON |
| State: | NJ |
| Postal Code: | 074242762 |
| Phone Number: | 9739258989 |
| Fax Number: | 9737420175 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1994R |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |