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

Mr. Jeremy C Tillack, CDCA

Individual provider Counselor · NPI 1447176508

Mr. Jeremy C Tillack, CDCA is a Counselor in Marion, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
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Practice location Address checks out

152 Oak St
Marion, OH 43302-2906
Phone: (567) 409-1989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 190323 (OH)

Record details

NPI number1447176508
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

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