Jay El Tillman
NPI #1154501047 in Clearlake, California
Provider Information
- NPI Number
- 1154501047
- Entity Type
- Individual
- Name
- Jay El Tillman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Nov 7, 2007
Practice Location
- Address
- 6885 OLD HWY 53
- City
- Clearlake
- State
- California
- ZIP Code
- 95422
- Phone
- (707) 995-3235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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