Tillery, Candace Lynn

Tillery, Candace Lynn is an sole proprietor health care provider with primary practice located at 3721 W Michigan Ave Ste 200 , Lansing MI 48917-3600. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tillery, Candace Lynn can be contacted via phone (517) 515-6176.

Contact Information

Primary practice address
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600
Phone: (517) 515-6176
Fax: (517) 515-6176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C-03445 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801099467 Michigan

Profile Details

NPI number 1114389301
LBN Legal business name Tillery, Candace Lynn
Credentials LMSW, CAADC, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2016
Last updated Mar 21st, 2024 - about 9 months 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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