Individual provider · Type 1 NPI

Beverly Diane Tilson, LAADC-CA LCI2361214

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1396946877 Active

Practice location

101 Gough St
San Francisco, CA 94102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCI2361214 (CA)

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

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About NPI 1396946877

Beverly Diane Tilson, LAADC-CA LCI2361214's National Provider Identifier is 1396946877, issued on May 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on Jun 12, 2018.