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ELIZABETH TILLMAN
NPI 1306302963
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since February 19, 2019
1028 RENO AVE, MODESTO, CA 95351(209) 579-1103 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Tillman NPPES

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

ELIZABETH TILLMAN (NPI 1306302963) is an individual addiction (substance use disorder) provider in Modesto, California and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1306302963
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELIZABETH TILLMAN
Location Address1028 RENO AVEModesto, CA 95351-1127
Mailing Address1100 Kansas Ave Ste BModesto, CA 95351-1596 · (209) 579-1151
Phone(209) 579-1103
Sole ProprietorYes
Enumeration DateFebruary 19, 2019
✔ NPI 1306302963 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
1028 RENO AVE, Modesto, CA 95351
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Other Providers at the Same Location NPPES 13

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

ROBERT CARL THOMPSON
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
JERRY FARMER
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
VICTOR MARTINEZ
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1151
MR. MARK NEWMAN SR.
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 578-1103
MR. MICHAEL EDWARD BAGLEY SUDCC 2
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
ALAN GLAVAZ
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
ROBERT CHAPMAN
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103
DAVID RIVERA
Counselor (Addiction (Substance Use Disorder))
1028 RENO AVE
MODESTO, CA 95351
Stanislaus County (209) 579-1103

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 Elizabeth Tillman's NPI number?

The NPI number for Elizabeth Tillman is 1306302963. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Elizabeth Tillman located?

Elizabeth Tillman practices at 1028 Reno Ave, Modesto, CA 95351. The listed phone number is (209) 579-1103.

What is Elizabeth 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 Elizabeth Tillman was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.