Individual
MS. CAROL JANE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC PROFESSIONAL LIC
Contact information
Practice address
707 NORTH 7TH AVENUE, SUITE D, POCATELLO, ID 83201
(208) 242-3044
(208) 904-0494
Mailing address
707 NORTH 7TH AVENUE, SUITE D, POCATELLO, ID 83201
(208) 242-3044
(208) 904-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP-292
ID
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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