Individual
TEZLYNN TILLMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17235 N 75TH AVE STE F100, GLENDALE, AZ 85308-0871
(480) 641-1165
Mailing address
20251 N 75TH AVE APT 2065, GLENDALE, AZ 85308-7906
(918) 815-6257
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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