Individual
JENNIFER TSILIMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 MIDWAY DR, VALPARAISO, IN 46385-7526
(219) 690-8115
Mailing address
1308 N MAIN ST, CROWN POINT, IN 46307-2719
(219) 663-6353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000819A
IN
183700000X
Pharmacy Technician
67004299A
IN
Other
Enumeration date
09/28/2020
Last updated
09/29/2020
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