Doctor Name: | MR. JUSTIN OWEN TILLERY |
NPI Number: | 1225447402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFTA |
License Number: | MFTA.MG.60491723 |
Business Practice Address: | 1212 N Washington St Ste 206 Spokane, WA - 992012441 |
Business Phone Number: | 5092099486 |
Business Fax Number: | 5092320883 |
Mailing Address: | 733 E 33rd Ave, SPOKANE |
State: | WA |
Postal Code: | 992033127 |
Phone Number: | 5034374509 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | MFTA.MG.60491723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |