Individual provider · Type 1 NPI

Shaun Russell Tilton, LPCC-S, LICDC

Mental Health Counselor · Columbus, OH

NPI number 1932588902 Active

Practice location

592 Indian Summer Dr
Columbus, OH 43214-1880

Call (937) 478-1450 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XICDC.101124 (OH)
Mental Health Counselor Primary 101YM0800XE.0800179-SUPV (OH)

Mental Health Counselor: Definition to come...

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About NPI 1932588902

Shaun Russell Tilton, LPCC-S, LICDC's National Provider Identifier is 1932588902, issued on May 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, OH. The record was last updated on May 24, 2015.