Individual
KRISTY L TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 W BROADWAY ST, HOBBS, NM 88240-5529
(753) 933-1685
(575) 397-4659
Mailing address
PO BOX 907, HOBBS, NM 88241-0907
(575) 393-3168
(575) 397-4659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0158041
NM
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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