Individual
ANGELA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CADCII
Contact information
Practice address
3985 ARKWRIGHT RD, MACON, GA 31210-1774
(478) 477-2070
Mailing address
3985 ARKWRIGHT RD, MACON, GA 31210-1774
(478) 477-2070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
452
GA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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