Illers, Jennifer

Illers, Jennifer is an individual health care provider with primary practice located at 1902 Pacific Ave , Kingman AZ 86401. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Illers, Jennifer can be contacted via phone (805) 781-3535.

Contact Information

Primary practice address
1902 Pacific Ave Kingman AZ 86401
Phone: (805) 781-3535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1184872954
LBN Legal business name Illers, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Dec 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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