Individual
JUSTIN MATTHEW DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LADAC
Contact information
Practice address
823 N MAIN ST, HARRISON, AR 72601-2914
(870) 741-2960
(870) 741-2965
Mailing address
3147B PRAIRIE VIEW RD, HARRISON, AR 72601-5587
(870) 391-1585
(870) 741-2965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
350L
AR
101YM0800X
Mental Health Counselor
Primary
A1208060
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/27/2011
Last updated
11/12/2014
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