Individual
JILL M UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC, MBA
Contact information
Practice address
1552 W LINCOLNWAY, VALPARAISO, IN 46385-0300
(219) 548-9400
(219) 548-9444
Mailing address
1552 W LINCOLNWAY, VALPARAISO, IN 46385-0300
(219) 548-9400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000056A
IN
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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