Individual provider · Type 1 NPI

Douglas Roger Tillman, MS ED, PLMHP

Counselor · Grand Island, NE

NPI number 1508072869 Active

Practice location

615 N Elm St
Grand Island, NE 68801-4254

Call (308) 395-1025 Map

Mailing address

1919 W 39th St Apt F8
Kearney, NE 68845-2778

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X8297 (NE)

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.

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About NPI 1508072869

Douglas Roger Tillman, MS ED, PLMHP's National Provider Identifier is 1508072869, issued on May 15, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Island, NE. The record was last updated on Jul 8, 2007.