Individual
JAMES DEAN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
208 4TH ST E, SOUTH POINT, OH 45680-9430
(740) 442-1747
Mailing address
208 4TH ST E, SOUTH POINT, OH 45680-9430
(740) 442-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191214
OH
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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