Individual provider · Type 1 NPI

Ty'ionna Nicole Gillam

Addiction (Substance Use Disorder) Counselor · Walterboro, SC

NPI number 1164096970 Active

Practice location

1439 Thunderbolt Dr
Walterboro, SC 29488-9341

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164096970

Ty'ionna Nicole Gillam's National Provider Identifier is 1164096970, issued on May 17, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Walterboro, SC. The record was last updated on May 17, 2021.