Individual
MELZINE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 W 19TH PLZ, GARY, IN 46404-2527
(773) 912-7775
Mailing address
4321 W 19TH PLZ, GARY, IN 46404-2527
(773) 912-7775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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