Individual
LISA MARIE DILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QMHP, CADC I
Contact information
Practice address
340 NE KIRBY ST, MCMINNVILLE, OR 97128-4301
(781) 510-1376
Mailing address
340 NE KIRBY ST, MCMINNVILLE, OR 97128-4301
(781) 510-1376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/19/2021
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