Provider Demographics
NPI:1043582042
Name:HUS, JILIAN M (LMHC, CCMHC)
Entity type:Individual
Prefix:
First Name:JILIAN
Middle Name:M
Last Name:HUS
Suffix:
Gender:F
Credentials:LMHC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11506 KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7207
Mailing Address - Country:US
Mailing Address - Phone:219-789-6192
Mailing Address - Fax:
Practice Address - Street 1:11506 KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7207
Practice Address - Country:US
Practice Address - Phone:219-440-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011750101YM0800X
IN39003191A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health