Individual
DYLAN GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(419) 953-9809
Mailing address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(419) 953-9809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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