Individual
JILL SUZANNE HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA CADC
Contact information
Practice address
2704 N MAIN ST, ROCKFORD, IL 61103
(815) 968-9300
Mailing address
5035 LINDEN RD, ROCKFORD, IL 61109-5840
(815) 560-2399
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/14/2018
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