Individual provider · Type 1 NPI

Jeremy C. Tillack, CDCA

Counselor · Marion, OH

NPI number 1447176508 Active

Practice location

152 Oak St
Marion, OH 43302-2906

Call (567) 409-1989 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X190323 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Other counselor providers in Marion

See all in Marion →

About NPI 1447176508

Jeremy C. Tillack, CDCA's National Provider Identifier is 1447176508, issued on Jun 24, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marion, OH. The record was last updated on Jun 24, 2026.