Individual
JANICE TILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10817 BLUCHER AVE, GRANADA HILLS, CA 91344-5509
(818) 481-1915
Mailing address
10817 BLUCHER AVE, GRANADA HILLS, CA 91344-5509
(818) 481-1915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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