Individual provider · Type 1 NPI

Nicole Tillman

Mental Health Counselor · Fairview Heights, IL

NPI number 1194295451 Active

Practice location

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350

Call (618) 688-4749 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counselor 101Y00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194295451

Nicole Tillman's National Provider Identifier is 1194295451, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview Heights, IL. The record was last updated on Nov 29, 2018.