Individual provider · Type 1 NPI

Jessica D. Tilley, CDCA

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1801559703 Active

Practice location

302 W Main St
Fairborn, OH 45324-5037

Call (937) 281-4673 Map

Fax (937) 318-1120

Mailing address

3103 Dixie Hwy
Hamilton, OH 45015-1653

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.179407 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801559703

Jessica D. Tilley, CDCA's National Provider Identifier is 1801559703, issued on Oct 18, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on Aug 1, 2022.