Ty'ionna Nicole Gillam
NPI #1164096970 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1164096970
- Entity Type
- Individual
- Name
- Ty'ionna Nicole Gillam
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 17, 2021
- Last Updated
- May 17, 2021
Practice Location
- Address
- 1439 THUNDERBOLT DR
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-9341
- Phone
- (843) 539-2211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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