Individual provider · Type 1 NPI

Amanda Nichole Stacey Tillman

Mental Health Counselor · Columbus, OH

NPI number 1386283513 Active

Practice location

345 E 2nd Ave
Columbus, OH 43201-3623

Call (614) 434-6342 Map

Mailing address

2611 Inspiration Trail Parkway, Apt 301
Columbus, OH 43219

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386283513

Amanda Nichole Stacey Tillman's National Provider Identifier is 1386283513, issued on Jan 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on Dec 13, 2024.