Individual
EDWARD TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.R.E.
Contact information
Practice address
22165 US HIGHWAY 431, GUNTERSVILLE, AL 35976-8994
(256) 582-4465
(256) 582-5339
Mailing address
1035 LAKE VIEW LN NW, ARAB, AL 35016-4552
(256) 931-4809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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