Individual
ANDREW WILLIAM JILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 CALHOUN PL STE 700, ROCKVILLE, MD 20855-3702
(240) 773-3199
Mailing address
7300 CALHOUN PL STE 700, ROCKVILLE, MD 20855-3702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC2384
MD
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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