Individual
MS. JANE ALLEN TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LPC
Contact information
Practice address
229 TURNER DR, REIDSVILLE, NC 27320-5736
(336) 349-2233
Mailing address
229 TURNER DR, REIDSVILLE, NC 27320-5736
(336) 349-2233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2575
NC
101YM0800X
Mental Health Counselor
Primary
9584
NC
Other
Enumeration date
09/27/2012
Last updated
05/10/2018
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