Individual
CLAIRE TILLOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 FOUNTAINS BLVD NE STE 203, CEDAR RAPIDS, IA 52411-6610
(319) 727-8297
(319) 734-2003
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
126405
IA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/08/2022
Last updated
10/24/2024
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