Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer A Tillisch, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992043038

Jennifer A Tillisch, LAC is an Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2013.

Licensed in
ND
In the registry since
2013
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4227 9th Ave SW
Fargo, ND 58103-2018
Phone: (701) 478-9535
Fax: (701) 365-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1688 (ND)

Record details

NPI number1992043038
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedJanuary 24, 2013
Last updated in NPPESJanuary 24, 2013

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