Individual
ERICA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 456-7010
(907) 456-7017
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
12/29/2011
Last updated
12/29/2011
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