Individual
JASON DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(833) 691-0736
Mailing address
4214 IMPERIAL DR, SPRINGFIELD, OH 45503-6215
(937) 917-5380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184692
OH
Other
Enumeration date
06/02/2023
Last updated
08/03/2023
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