Russell Tiller

NPI #1639322597 in Greensburg, Kentucky

Provider Information

NPI Number: 1639322597
Entity Type: Individual
Name: Russell Tiller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 521 OLD HODGENVILLE RD
City: Greensburg
State: Kentucky
ZIP Code: 42743-9493
Phone: (270) 932-3226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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