Individual provider · NPI-1

Rebecca D Aadland Tillotson, LMFT, NCC

Marriage & Family Therapist · Eden Prairie, MN

NPI number1316017718
StatusActive
Last updated in NPPESJun 16, 2018

Details

NPI
1316017718
Entity type
Individual (NPI-1)
Name
Rebecca D Aadland Tillotson
Credential
LMFT, NCC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 9, 2006
Last updated
Jun 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist1084MNYes
101YM0800X Counselor, Mental HealthNCC 63137–

Practice location

6542 Regency Ln Ste 209
Eden Prairie, MN 55344

Phone 952-926-7500 · Fax 952-903-9257

Mailing address

15492 Elm Rd
Maple Grove, MN 55311-3922

Phone 952-926-7500 · Fax 952-903-9257

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