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Individual

MR. JUSTIN OWEN TILLERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFTA

Contact information

Practice address
1212 N WASHINGTON ST STE 206, SPOKANE, WA 99201-2441
(509) 209-9486
(509) 232-0883
Mailing address
733 E 33RD AVE, SPOKANE, WA 99203-3127
(503) 437-4509

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTA.MG.60491723
WA

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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