M'lisa Tillack, LCSW
NPI #1134377211 in American Fork, Utah
Provider Information
- NPI Number
- 1134377211
- Entity Type
- Individual
- Name
- M'lisa Tillack, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Sep 3, 2008
- Last Updated
- Apr 9, 2019
Practice Location
- Address
- 131 S 700 E STE 102
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003
- Phone
- (801) 701-8061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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