Individual
EMILY TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W 2ND STREET, LONOKE, AR 72086
(501) 676-3151
(501) 676-3152
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2411001
AR
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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