Jacqueline Tillman, RAS

NPI 1639398662 · on the registry since 2007 · sole proprietor

Practice

Address: 11015 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone: (626) 485-6088
Organisation at this address: Homeless Outreach Program
Phoenix Houses Of Los Angeles, Inc.
Los Angeles Centers For Alcohol And Drug Abuse
Los Angeles Centers For Alcohol And Drug Abuse
Los Angeles Centers For Alcohol And Drug Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 172

Registry record

Primary taxonomy: 1041S0200X
1041S0200X
Sex: Female
Record last updated: 2012-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California