Lee R Tillman in Santa Rosa - Addiction (substance Use Disorder)
Lee R Tillman - NPI 1639299050
Lee R Tillman is a Addiction (substance Use Disorder) in Santa Rosa, California. Lee R Tillman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lee R Tillman is 1639299050. The last update date is 2007-07-08.
Lee R Tillman's current location address is 722 Beaver St, Santa Rosa, California. You can contact this provider via phone number 7075790775 and fax number 7075767845. The mailing address for Lee R Tillman is 722 Beaver St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee R Tillman |
|---|---|
| Address | 722 Beaver St, Santa Rosa, California |
| Phone Number | 7075790775 |
| Fax Number | 7075767845 |
| Sole Proprietor | N |
| Credentials | RAS |
NPI Number Detail
| NPI Number | 1639299050 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 722 Beaver St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954043729 |
| Phone Number | 7075790775 |
| Fax Number | 7075767845 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | RAST04122115 |
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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 Lee R Tillman's 1639299050?
The Lee R Tillman's NPI (National Provider Identifier) Number is 1639299050. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lee R Tillman is geographically located?
The Lee R Tillman is physically situated at the following location: 722 Beaver St, Santa Rosa, CA, 954043729.
What is Lee R Tillman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lee R Tillman is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did Lee R Tillman receive its 1639299050 assignment from the Centers for Medicare & Medicaid Services?
The Lee R Tillman was assigned its 1639299050 on 2007-03-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lee R Tillman last refreshed?
The information related to the Lee R Tillman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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