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SHALONDA TILLMAN
NPI 1134948524
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since October 03, 2024
3096 JOURNEY DR, STOCKTON, CA 95212(209) 454-1033 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shalonda Tillman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALONDA TILLMAN (NPI 1134948524) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1134948524
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHALONDA TILLMAN
Location Address3096 JOURNEY DRStockton, CA 95212-9350
Mailing Address3096 Journey DrStockton, CA 95212-9350 · (209) 454-1033
Phone(209) 454-1033
Sole ProprietorNo
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1134948524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3096 JOURNEY DR, Stockton, CA 95212
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S & T LUXURY SOBER LIVING
Lodging
3096 JOURNEY DR
STOCKTON, CA 95212
San Joaquin County (209) 454-1033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalonda Tillman's NPI number?

The NPI number for Shalonda Tillman is 1134948524. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Shalonda Tillman located?

Shalonda Tillman practices at 3096 Journey Dr, Stockton, CA 95212. The listed phone number is (209) 454-1033.

What is Shalonda Tillman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shalonda Tillman was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.