Individual provider · Type 1 NPI
Douglas Webster Tilley
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1477762482
Active
Practice location
3954 Murphy Canyon Rd Ste D202
San Diego, CA 92123-4420
Mailing address
9648 Marilla Dr Apt 89
Lakeside, CA 92040-2835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RW1098 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1477762482
Douglas Webster Tilley's National Provider Identifier is 1477762482, issued on May 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.