| Doctor Name: | JANET HILLIS |
| NPI Number: | 1235311135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | LISAC-11031 |
| Business Practice Address: | Dawn Of Recovery Fort Defiance Behavioral Health Services Fort Defiance, AZ - 865041490 |
| Business Phone Number: | 9287294012 |
| Business Fax Number: | 9287294200 |
| Mailing Address: | Po Box 1490, FORT DEFIANCE |
| State: | AZ |
| Postal Code: | 865041490 |
| Phone Number: | 9287294012 |
| Fax Number: | 9287294200 |
| NPI Enumeration Date: | 12/03/2007 |
| NPI Last Update Date: | 12/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-11031 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |