Individual
MRS. ALICIA MARIE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA - TREATMENT SPE
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500699451
DMAP
OR
Enumeration date
11/23/2010
Last updated
08/04/2021
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