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Individual
JUSTIN MATTHEW DILLON
Active
Individual
JUSTIN MATTHEW DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
350L
AR
101YM0800X
Mental Health Counselor
Primary
A1208060
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/27/2011
Last updated
11/12/2014
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