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Breanna Rose Tillman

Counselor, Mental Health in San Leandro, CA. Individual provider (NPI-1).

NPI number1851576847
StatusActive
Last updated in NPPESJan 8, 2008

Details

NPI
1851576847
Entity type
Individual (NPI-1)
Name
Miss Breanna Rose Tillman
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2008
Last updated
Jan 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-481-1222

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Phone 510-481-1222

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