Individual
PATRICK CHAD TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIT, PSS
Contact information
Practice address
1105 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8529
(337) 534-4111
Mailing address
1105 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8529
(337) 534-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1861276990
LA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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