Individual provider · Type 1 NPI

Gary Michael Tillman, CSAC

Addiction (Substance Use Disorder) Counselor · Richmond, VA

NPI number 1265945331 Active

Practice location

2217 E Franklin St
Richmond, VA 23223-7046

Call (804) 213-0249 Map

Fax (804) 716-0715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0710102978 (VA)

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

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About NPI 1265945331

Gary Michael Tillman, CSAC's National Provider Identifier is 1265945331, issued on Nov 13, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, VA. The record was last updated on Nov 13, 2017.