Individual
SARAH KATHERINE TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
5509 CREEDMOOR RD, RALEIGH, NC 27612-6312
(919) 573-6531
Mailing address
3216 JOBS JOURNEY CT APT 101, RALEIGH, NC 27610-6655
(919) 518-6957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24439
NC
1041C0700X
Clinical Social Worker
C005810
NC
Other
Enumeration date
04/29/2008
Last updated
10/14/2020
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