Individual
DR. FELICIA TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
115 MARTIN LUTHER KING JR DR SW # 304, ATLANTA, GA 30303-3536
(931) 632-3631
Mailing address
PO BOX 1176, FAYETTEVILLE, GA 30214-6176
(931) 632-3631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010817
GA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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