Doctor Name: | JENNIFER HILLWIG |
NPI Number: | 1306114681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC005762 |
Business Practice Address: | 110 S Arch St Connellsville, PA - 154253515 |
Business Phone Number: | 7246269941 |
Business Fax Number: | 7246262785 |
Mailing Address: | 315 Haldeman Dr, CRANBERRY TWP |
State: | PA |
Postal Code: | 160665629 |
Phone Number: | 7244481480 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |