Individual provider · Type 1 NPI

Grace E. Tily

Addiction (Substance Use Disorder) Counselor · Liverpool, NY

NPI number 1174786438 Active

Practice location

526 Old Liverpool Rd
Liverpool, NY 13088-6238

Call (315) 453-3911 Map

Fax (315) 453-0197

Mailing address

PO Box 31094
Hartford, CT 06150-1094

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 1174786438

Grace E. Tily's National Provider Identifier is 1174786438, issued on Jul 8, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Liverpool, NY. The record was last updated on Jul 8, 2008.