Individual
AMANDA NICHOLE STACEY TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 2ND AVE, COLUMBUS, OH 43201-3623
(614) 434-6342
Mailing address
2611 INSPIRATION TRAIL PARKWAY, APT 301, COLUMBUS, OH 43219
(614) 434-6342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OH
Other
Enumeration date
01/06/2020
Last updated
12/13/2024
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