Jay El Tillman in Clearlake - Addiction (substance Use Disorder)
Jay El Tillman - NPI 1154501047
Jay El Tillman is a Addiction (substance Use Disorder) in Clearlake, California. Jay El Tillman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jay El Tillman is 1154501047. The last update date is 2007-11-07.
Jay El Tillman's current location address is 6885 Old Hwy 53, Clearlake, California. You can contact this provider via phone number 7079953235. The mailing address for Jay El Tillman is 6885 Old Hwy 53, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay El Tillman |
|---|---|
| Address | 6885 Old Hwy 53, Clearlake, California |
| Phone Number | 7079953235 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154501047 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 6885 Old Hwy 53 |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 95422 |
| Phone Number | 7079953235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RS2684 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jay El Tillman by the Centers for Medicare & Medicaid Services?
The Jay El Tillman has been issued the NPI (National Provider Identifier) 1154501047 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jay El Tillman's facilities are geographically located?
The facilities of Jay El Tillman are physically situated at the following location: 6885 Old Hwy 53, Clearlake, CA, 95422.
What is the Jay El Tillman's specialty and taxonomy code?
The Jay El Tillman's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When was the Jay El Tillman's 1154501047 issued?
The Jay El Tillman's 1154501047 was issued on 2007-11-07.
When was the information regarding Jay El Tillman most recently updated?
The details pertaining to the Jay El Tillman, including its address, specialty, and other relevant information, were last refreshed on 2007-11-07.