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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

M'LISA TILLACK, LCSW

Active

M'LISA TILLACK, LCSW is a Mental Health Counselor healthcare provider located in AMERICAN FORK, Utah. NPI 1134377211 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · AMERICAN FORK, UT

Registration Details

NPI Number
1134377211
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2008 (17.91877107268 yrs)
Last Updated
Apr 9, 2019
License
13275 (UT)

Practice Information

Address
131 S 700 E STE 102
AMERICAN FORK, UT, 84003
Browse UT providers · Browse ZIP 84003
Phone
8017018061
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in AMERICAN FORK, UT

Name Credential NPI
TAUNIA F SLOAT MAED, LPC 1902027055
RICHARD R OVESON CPCI 1326218447
MR. WAYNE SEARS CMHC 1063686160
SANDY G MOODY LCSW 1346514726
CLAIRE REMUND 1750794715
ROBERT ARMSTRONG 1558763326
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.