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Individual
TAMMY J STILLION
Active
Individual
TAMMY J STILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PCC-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161637
OH
101YP2500X
Professional Counselor
Primary
E3825
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344102
ANTHEM PIN
OH
05
—
0180823
—
OH
01
—
307825
TRICARE/MHN PIN
OH
01
—
377001
MOUNT CARMEL PIN
OH
01
—
543524000
MAGELLAN PIN
OH
01
—
7066609
AETNA PIN
OH
01
—
Y03725
THE HEALTH PLAN PIN
OH
Enumeration date
03/16/2006
Last updated
07/10/2018
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