Individual
MRS. CANDICE ELAINE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5959 WEST LOOP SOUTH, SUITE 215, BELLAIRE, TX 77401
(713) 614-4597
Mailing address
16411 DAWNCREST WAY, SUGAR LAND, TX 77498-7164
(713) 614-4597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67063
TX
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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