James Tillman in Fresno - Addiction (substance Use Disorder)

James Tillman - NPI 1376758458

James Tillman is a Addiction (substance Use Disorder) in Fresno, California. James Tillman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James Tillman is 1376758458. The last update date is 2019-01-22.

James Tillman's current location address is 3707 E Shields Ave, Fresno, California. You can contact this provider via phone number 5592299040. The mailing address for James Tillman is 3707 E Shields Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name James Tillman
Address 3707 E Shields Ave, Fresno, California
Phone Number 5592299040
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1376758458
Provider Enumeration Date 2007-05-11
Last Updated Date 2019-01-22

Provider Mailing Address Detail

Address 3707 E Shields Ave
City Fresno
State California (CA)
Post Code 937267029
Phone Number 5592299040
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 6589
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6589 CA CADTP

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FAQs about James Tillman

What is the James Tillman's 1376758458?

The James Tillman's NPI (National Provider Identifier) Number is 1376758458. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where James Tillman is located?

The James Tillman is situated at the following address: 3707 E Shields Ave, Fresno, CA, 937267029.

What is James Tillman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James Tillman is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did James Tillman receive its 1376758458 assignment from the Centers for Medicare & Medicaid Services?

The James Tillman was assigned its 1376758458 on 2007-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the James Tillman's information last updated?

The James Tillman's information was last updated on 2019-01-22.

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