M'LISA TILLACK, LCSW
Counselor - Mental Health
Active
Individual
NPI: 1134377211
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 13275 (UT) |
Frequently Asked Questions
NPI 1134377211 is the National Provider Identifier for M'LISA TILLACK, LCSW, a Counselor - Mental Health provider located in American Fork, UT. This NPI was enumerated on September 3, 2008.
M'LISA TILLACK, LCSW practices at 131 S 700 E STE 102, American Fork, UT 84003.
Quick Facts
- NPI
- 1134377211
- Type
- Individual
- Enumerated
- Sep 3, 2008
- Last Updated
- Apr 9, 2019
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