Individual
JILLIAN MINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CHEWS LANDING RD STE 23, CLEMENTON, NJ 08021-2769
(856) 441-2229
Mailing address
PO BOX 34, GRENLOCH, NJ 08032-0034
(856) 357-6407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00828100
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00387600
NJ
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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