Delmar Dana Tillis
NPI #1144784984 in San Rafael, California
Provider Information
- NPI Number
- 1144784984
- Entity Type
- Individual
- Name
- Delmar Dana Tillis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 25, 2019
- Last Updated
- Jan 25, 2019
Practice Location
- Address
- 603 D ST
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-3719
- Phone
- (415) 454-9444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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