Individual
SHAQUITA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2218 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2827
(202) 717-9428
Mailing address
710 BOOKER DR, CAPITOL HEIGHTS, MD 20743-1830
(301) 254-4387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC200001368
DC
101YS0200X
School Counselor
LGPC20001368
DC
Other
Enumeration date
03/28/2023
Last updated
08/21/2024
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