Individual provider · Type 1 NPI
Jay El Tillman
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1154501047
Active
Practice location
6885 Old Hwy 53
Clearlake, CA 95422
Mailing address
6840 S Center Dr
Clearlake, CA 95422-8134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RS2684 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Clearlake
- Melissa Maria Baxter, CADC IIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1043794449
- Kimberland Dale Vanhorn, RASIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1063669489
- Stephanie Osterman Odney, CAADACAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1063704385
- Francian Leann Reinhardt, RASIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1073761318
- Teresa MassingillAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1154748820
- Janet M. Edmonds, COUNSELOR CAS, RASAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1174968978
- Judith Ann Carroll, RI-C0908210706Addiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1205069796
- Carol Louine Mansfield, RIAddiction (Substance Use Disorder) Counselor Clearlake, CA NPI 1205962669
About NPI 1154501047
Jay El Tillman's National Provider Identifier is 1154501047, issued on Nov 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Nov 7, 2007.