Individual
TALIA DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 E VISION VIEW DR, WASILLA, AK 99654-0596
(907) 715-1610
Mailing address
2115 E VISION VIEW DR, WASILLA, AK 99654-0596
(907) 715-1610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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