M'lisa Tillack, LCSW is a mental health counselor in American Fork, UT. M'lisa Tillack, LCSW NPI is 1134377211. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
131 S 700 E STE 102
AMERICAN FORK, UT
ZIP 84003
Phone: (801) 701-8061
The enumeration date for this NPI number is 9/3/2008 and was last updated on 4/9/2019.