Individual provider · Type 1 NPI
James Edward Tillman Jr., CADC II
Addiction (Substance Use Disorder) Counselor · Roseville, CA
NPI number
1770813883
Active
Practice location
730 Sunrise Ave, Suite #250
Roseville, CA 95661-4567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A4001007 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770813883
James Edward Tillman Jr., CADC II's National Provider Identifier is 1770813883, issued on Jan 12, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Jan 12, 2010.