Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY EL TILLMAN
Active Sole ProprietorJAY EL TILLMAN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLEARLAKE, California. NPI 1154501047 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CLEARLAKE, CA
Registration Details
- NPI Number
- 1154501047
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2007 (18.585985074386 yrs)
- Last Updated
- Nov 7, 2007
- License
-
RS2684 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6885 OLD HWY 53CLEARLAKE, CA, 95422Browse CA providers · Browse ZIP 95422
- Phone
- 7079953235
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CLEARLAKE, CA
| Name | Credential | NPI |
|---|---|---|
| ANDI M GLETTY | CADCII A3773397 | 1659431757 |
| MR. JAMES CLARK GESSNER | ADDICTION SPECIALIST | 1225199227 |
| RAUL WYBO-GILBERT | — | 1851457022 |
| MICHAEL ANDRADE | — | 1336290485 |
| MS. KATHLEEN HELEN WORDEN | — | 1518012236 |
| MS. ROSE MARIE WEAVER | CADC-II | 1699813469 |
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.