Individual
DEANNA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
502 CHERRY RD STE 201, ROCK HILL, SC 29732-3118
(678) 763-5994
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9127
SC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280078122B
—
GA
Enumeration date
03/27/2008
Last updated
09/07/2023
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