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Mrs. Loretta I. Tillman, MA
Mental Health Counselor in Charlotte, North Carolina
NPI 1356495402

Loretta I. Tillman is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Loretta I. Tillman practices in Charlotte, NC and has the professional credentials of MA. The NPI Number for Loretta I. Tillman is 1356495402 and holds a License No. 3411 (North Carolina).

The current practice location address for Loretta I. Tillman is 5736 N Tryon St Ste 200, Charlotte, NC and can be reached out via phone at 704-921-6777 and via fax at 704-509-2220.

Location: 5736 N Tryon St Ste 200, Charlotte, NC, 28213-0820
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Provider Profile Details
NPI Number
1356495402
Provider Name
Loretta I. Tillman
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
5736 N Tryon St Ste 200, Charlotte, NC, 28213-0820
Phone Number
704-921-6777
Fax Number
704-509-2220
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102097 05 NC
institution
Provider Business Practice Location Address Details
Address
5736 N Tryon St Ste 200
City
State
Zip
28213-0820
Phone Number
704-921-6777
Fax Number
704-509-2220
person
Provider Business Mailing Address Details
Address
5736 N Tryon St Ste 200
City
State
Zip
28213-0820
Phone Number
704-921-6777
Fax Number
704-509-2220
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3411 (North Carolina)
Definition
Definition to come...
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