Individual
TAMARA LYNN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, 20807
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-2970
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 858-2970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/28/2025
Last updated
07/31/2025
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