Individual provider · Type 1 NPI

Conley Tillman Jr.

Addiction (Substance Use Disorder) Counselor · Springfield, OH

NPI number 1629549423 Active

Practice location

2624 Lexington Ave
Springfield, OH 45505-2620

Call (937) 328-5300 Map

Fax (937) 322-4900

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XW.1800116 (OH)
Case Manager/Care Coordinator 171M00000XCDCA.166069 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162257 (OH)

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About NPI 1629549423

Conley Tillman Jr.'s National Provider Identifier is 1629549423, issued on Dec 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Springfield, OH. The record was last updated on Sep 14, 2021.