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Individual

DR. JAMES EUGENE TILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT, LMHC, MAC, CDP

Contact information

Practice address
9109 ZIRCON DR SW, LAKEWOOD, WA 98498-4054
(253) 376-4921
(253) 759-1790
Mailing address
9109 ZIRCON DR SW, LAKEWOOD, WA 98498-4054
(253) 376-4921
(253) 759-1790

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00004199
WA
101YM0800X
Mental Health Counselor
LH00003952
WA
106H00000X
Marriage & Family Therapist
Primary
LF00002041
WA

Other

Enumeration date
02/17/2006
Last updated
01/20/2017
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