Individual
MR. EDWARD C TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
14311 E 4TH AVE, AURORA, CO 80011-8703
(720) 949-0095
Mailing address
19940 EAST ITHACA PL, AURORA, CO 80013
(309) 532-7447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0007956
CO
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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