Individual
MS. CRYSTAL M. TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6 AUTOMATION LN, ALBANY, NY 12205-1668
(518) 545-4807
Mailing address
6 AUTOMATION LN, ALBANY, NY 12205-1668
(518) 545-4807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011790
NY
Other
Enumeration date
10/03/2014
Last updated
10/05/2022
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