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Individual

MR. JEROME EDWARD TILGHMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, CAC II

Contact information

Practice address
117 E MAIN ST, MONCKS CORNER, SC 29461-3764
(843) 312-3319
(800) 948-6030
Mailing address
PO BOX 474, MONCKS CORNER, SC 29461-0474
(843) 364-2321
(800) 948-6030

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5
SC
101YP2500X
Professional Counselor
Primary
3396
SC

Other

Enumeration date
05/15/2007
Last updated
03/03/2019
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