Individual
JILLIAN SALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W CHICAGO AVE, CHICAGO, IL 60654-5106
(312) 943-6545
Mailing address
833 N CLARK ST UNIT 410, CHICAGO, IL 60610-3383
(248) 763-9002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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