Individual
JEAN DILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-DMT, LISAC, LPC
Contact information
Practice address
285 N BROAD ST, GLOBE, AZ 85501-2503
(928) 961-4774
Mailing address
285 N BROAD ST, GLOBE, AZ 85501-2503
(928) 961-4774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11693
AZ
101YP2500X
Professional Counselor
Primary
106105
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106105
STATE MH LICENSE
AZ
01
—
11693
STATE SUB ABUSE LICENSE
AZ
Enumeration date
03/05/2007
Last updated
06/02/2021
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