Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay El Tillman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154501047

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 53
Clearlake, CA 95422
Phone: (707) 995-3235
Show map & directions

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 number1154501047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2007
Last updated in NPPESNovember 7, 2007
Mailing address6840 S Center Dr, Clearlake, CA 95422-8134

Other providers in Clearlake