Gary Michael Tillman, CSAC
Counselor, Addiction (Substance Use Disorder) in Richmond, VA. Individual provider (NPI-1).
NPI number1265945331
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1265945331
- Entity type
- Individual (NPI-1)
- Name
- Gary Michael Tillman
- Credential
- CSAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0710102978 | VA | Yes |
Practice location
2217 E Franklin StRichmond, VA 23223-7046
Phone 804-213-0249 · Fax 804-716-0715
Mailing address
2217 E Franklin StRichmond, VA 23223-7046
Phone 804-213-0249 · Fax 804-716-0715
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All 75 Addiction (Substance Use Disorder) Counselor providers in Richmond · All 18,360 providers in Richmond
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