Individual
JILLYAN COLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1000 S CLEVELAND MASSILLON RD STE 1, FAIRLAWN, OH 44333-9204
(330) 754-4844
(833) 974-2062
Mailing address
1000 S CLEVELAND MASSILLON RD STE 1, FAIRLAWN, OH 44333-9204
(330) 754-4844
(833) 974-2062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1901718
OH
101YP2500X
Professional Counselor
Primary
E.2606021
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0308147
—
OH
01
—
C.1901718
OHIOELICENSE
OH
Enumeration date
03/01/2018
Last updated
04/13/2026
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