Individual
MS. CAROLE L TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAADC-CA
Contact information
Practice address
3637 MISSION AVE BLDG B, CARMICHAEL, CA 95608
(916) 485-4175
(916) 480-2241
Mailing address
3637 MISSION AVE BLDG B, CARMICHAEL, CA 95608-2946
(916) 485-4175
(916) 480-2241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
07/23/2018
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