Individual
MRS. SANDRA DILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPEI
Contact information
Practice address
1836 FREMONT ST, ASHLAND, OR 97520-2537
(541) 414-1720
(541) 414-1721
Mailing address
2411 HIGHGATE ST APT 1, MEDFORD, OR 97501-7967
(501) 305-1403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
96-16EI
AR
Other
Enumeration date
10/04/2006
Last updated
10/10/2023
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