Most Relevant Information
Provider Data
| NPI Number: | 1003342361 |
| Provider Name: | MELISSA TILLEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 0013717 |
Most Important Dates
| Enumeration Date: | 05/05/2017 |
| Last Updated: | 05/05/2017 |
Provider Practice Location
8678 W DARTMOUTH PL
LAKEWOOD
CO
802274709
Practice Location Phone/Fax
| Phone: | 9702350913 |
| Fax: |
Provider Mailing Location
8678 W DARTMOUTH PL
LAKEWOOD
CO
802274709
Provider Mailing Phone/Fax
| Phone: | 9702350913 |
| Fax: |