Tilley, Jessica D

Tilley, Jessica D is an individual health care provider with primary practice located at 302 W Main St , Fairborn OH 45324-5037. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Tilley, Jessica D can be contacted via phone (937) 281-4673.

Contact Information

Primary practice address
302 W Main St Fairborn OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.179407 Ohio

Profile Details

NPI number 1801559703
LBN Legal business name Tilley, Jessica D
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2021
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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