Individual
MR. STEVEN R TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 STAMP ROAD, SUITE # 208, TEMPLE HILLS, MD 20748
(301) 278-7956
(301) 909-0916
Mailing address
4400 STAMP ROAD, SUITE # 208, TEMPLE HILLS, MD 20748
(301) 278-7956
(301) 909-0916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102761
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1073
DC
Other
Enumeration date
03/16/2007
Last updated
01/24/2017
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