CONLEY TILLMAN JR.

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1629549423

Practice Address

2624 LEXINGTON AVE
Springfield, OH 45505

Phone: (937) 328-5300

Specialties

Specialty Code Primary License
Social Worker 104100000X No W.1800116 (OH)
Case Manager/Care Coordinator 171M00000X No CDCA.166069 (OH)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes LCDCIII.162257 (OH)

Frequently Asked Questions

NPI 1629549423 is the National Provider Identifier for CONLEY TILLMAN JR., a Counselor - Addiction (Substance Use Disorder) provider located in Springfield, OH. This NPI was enumerated on December 6, 2018.
CONLEY TILLMAN JR. practices at 2624 LEXINGTON AVE, Springfield, OH 45505.

Quick Facts

NPI
1629549423
Type
Individual
Enumerated
Dec 6, 2018
Last Updated
Sep 14, 2021

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