Colleen Jillson, LCSW, LADC, CCS

NPI #1851665939 in Windham, Maine

Provider Information

NPI Number: 1851665939
Entity Type: Individual
Name: Colleen Jillson, LCSW, LADC, CCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LADC, CCS
Enumeration Date: Mar 7, 2012
Last Updated: Mar 20, 2018

Practice Location

Address: 86 TANDBERG TRL
City: Windham
State: Maine
ZIP Code: 04062-5841
Phone: (207) 893-0386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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