Individual provider · Type 1 NPI

James Tillman

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1376758458 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Mailing address

4764 E Nevada Ave
Fresno, CA 93702-2641

Other practice locations

  • 114 E Shaw Ave Ste 210, Fresno, CA 93710-7621 · (559) 221-8100

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6589 (CA)

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

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About NPI 1376758458

James Tillman's National Provider Identifier is 1376758458, issued on May 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 22, 2019.