Jay El Tillman
Jay El Tillman is an Addiction (Substance Use Disorder) Counselor in Clearlake, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
6885 Old Hwy 53Clearlake, CA 95422 Not confirmed with CMS for 18 years — call before visiting
Phone: (707) 995-3235
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence RS2684 (CA) |
|---|
Record details
| NPI number | 1154501047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2007 |
| Last updated in NPPES | November 7, 2007 |
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