| Carmen Tillman, Plc | |
|
6 Oak Park Ln Ne Iowa City IA 52240-9180 | |
| (319) 512-7250 | |
| Not Available |
| Full Name | Carmen Tillman, Plc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6 Oak Park Ln Ne, Iowa City, Iowa |
| Authorized Official Name and Position | Carmen Tillman (MANAGING MEMBER) |
| Authorized Official Contact | 3192132231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Tillman, Plc 6 Oak Park Ln Ne Iowa City IA 52240-9180 Ph: (319) 512-7250 | Carmen Tillman, Plc 6 Oak Park Ln Ne Iowa City IA 52240-9180 Ph: (319) 512-7250 |
| NPI Number | 1265045181 |
|---|---|
| Provider Enumeration Date | 08/29/2020 |
| Last Update Date | 08/29/2020 |
| Certification Date | 08/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265045181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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