LEE R TILLMAN

SANTA ROSA, CA
NPI1639299050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RAST0412211559)
Enumeration Date2007-03-30
Last Update Date2024-09-07
Business Address
Mr. LEE R TILLMAN RAS
1901 CLEVELAND AVE SUITE B
SANTA ROSA, CA 95401-4282
Phone number: 707-576-0818
Mailing Address
Mr. LEE R TILLMAN RAS
722 BEAVER ST
SANTA ROSA, CA 95404-3729
Phone number: 707-579-0775