Individual provider · Type 1 NPI

Russell Tiller

Mental Health Counselor · Greensburg, KY

NPI number 1639322597 Active

Practice location

521 Old Hodgenville Rd
Greensburg, KY 42743-9493

Call (270) 932-3226 Map

Mailing address

259 Parkers Mill Rd
Somerset, KY 42501-3152

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X763 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1639322597

Russell Tiller's National Provider Identifier is 1639322597, issued on Oct 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensburg, KY. The record was last updated on Oct 23, 2008.