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Individual

MRS. LANA JO DILLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LPE

Contact information

Practice address
600 E KINGSHIGHWAY, PARAGOULD, AR 72450-4537
(870) 476-1275
Mailing address
600 E KINGSHIGHWAY, PARAGOULD, AR 72450-4537
(870) 476-1275
(870) 335-2350

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0509062
AR
103T00000X
Psychologist
07-12E
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172086795
AR
Enumeration date
04/22/2010
Last updated
10/17/2024
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