Individual
TIFFANY DAWN TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 LAFOUNTAIN ST, BURLINGTON, VT 05401-4237
(802) 658-3296
Mailing address
100 LAFOUNTAIN ST, BURLINGTON, VT 05401-4237
(802) 658-3296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.6135211
VT
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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