Individual provider · Type 1 NPI
Steven R. Tillman
Addiction (Substance Use Disorder) Counselor · Temple Hills, MD
NPI number
1366566432
Active
Practice location
4400 Stamp Road, Suite # 208
Temple Hills, MD 20748
Fax (301) 909-0916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CACII1073 (DC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102761 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366566432
Steven R. Tillman's National Provider Identifier is 1366566432, issued on Mar 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Temple Hills, MD. The record was last updated on Jan 24, 2017.