Individual
MS. MARY ELLEN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS
Contact information
Practice address
1909 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4560
(949) 929-2475
Mailing address
1909 J N PEASE PL STE 103, CHARLOTTE, NC 28262-4560
(949) 929-2475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1572
NC
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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