MR. Jason Lillich, CSW-PIP, QMHP
NPI #1821593005 in Lemmon, South Dakota
Provider Information
- NPI Number
- 1821593005
- Entity Type
- Individual
- Name
- MR. Jason Lillich, CSW-PIP, QMHP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- CSW-PIP, QMHP
- Enumeration Date
- Mar 28, 2018
- Last Updated
- Jun 19, 2024
Practice Location
- Address
- 11 4TH STREET EAST
- City
- Lemmon
- State
- South Dakota
- ZIP Code
- 57638
- Phone
- (605) 374-3862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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