Most Relevant Information
Provider Data
| NPI Number: | 1003218355 |
| Provider Name: | CANDICE ELAINE TILLMAN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 67063 |
Most Important Dates
| Enumeration Date: | 09/18/2014 |
| Last Updated: | 09/18/2014 |
Provider Practice Location
5959 WEST LOOP SOUTH
SUITE 215
BELLAIRE
TX
77401
Practice Location Phone/Fax
| Phone: | 7136144597 |
| Fax: |
Provider Mailing Location
16411 DAWNCREST WAY
SUGAR LAND
TX
774987164
Provider Mailing Phone/Fax
| Phone: | 7136144597 |
| Fax: |