Individual
KENT D TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV., NCCFBPPC
Contact information
Practice address
112 GARRISON DR, BELMONT, NC 28012-3204
(704) 616-4226
Mailing address
112 GARRISON DR, BELMONT, NC 28012-3204
(704) 616-4226
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
#70
NC
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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