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Individual

SARAH TILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., NCC, LMHC

Contact information

Practice address
400 THOMAS DRIVE, UNIT 7108, PANAMA CITY BEACH, FL 32408
(515) 373-8391
(515) 993-9545
Mailing address
3803 WHITEHEAD BLVD, PANAMA CITY, FL 32404-4102
(757) 753-1939

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701005307
VA
101YP2500X
Professional Counselor
Primary
16517
FL
101YP2500X
Professional Counselor
LPC-13607
WY

Other

Enumeration date
06/16/2013
Last updated
07/25/2018
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