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James Tillman
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1376758458

James Tillman is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). James Tillman practices in Fresno, CA. The NPI Number for James Tillman is 1376758458 and holds a License No. 6589 (California).

The current practice location address for James Tillman is 3707 E Shields Ave, Fresno, CA and can be reached out via phone at 559-229-9040.

Location: 3707 E Shields Ave, Fresno, CA, 93702-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376758458
Provider Name
James Tillman
Credential
Provider Entity Type
Individual
Gender
Male
Address
3707 E Shields Ave, Fresno, CA, 93702-2641
Phone Number
559-229-9040
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6589 01 CA CADTP
institution
Provider Business Practice Location Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider Business Mailing Address Details
Address
3707 E Shields Ave
City
Fresno
State
California
Zip
93726-7029
Phone Number
559-229-9040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6589 (California)
Definition
Definition to come...
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