Individual
JANET HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301
(505) 722-9470
(505) 722-9570
Mailing address
300 W NIZHONI BLVD STE A, GALLUP, NM 87301-5766
(505) 722-9470
(505) 722-9570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11031
AZ
Other
Enumeration date
12/03/2007
Last updated
06/29/2018
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