Individual
TANISHA ANN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PAGE DR STE 7&8, PINEHURST, NC 28374-8847
(910) 235-9090
(910) 235-9093
Mailing address
20 PAGE DR STE 7&8, PINEHURST, NC 28374-8847
(910) 235-9090
(910) 235-9093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23990
NC
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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