Individual
EVELYN DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC,CPSS,RCP
Contact information
Practice address
113 RIVERIA RD, MOORESVILLE, NC 28117-8974
(704) 402-9176
Mailing address
113 RIVERIA RD, MOORESVILLE, NC 28117-8974
(704) 402-9176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-2411
NC
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316335128
—
NC
05
—
1912426206
—
NC
Enumeration date
09/18/2017
Last updated
01/27/2026
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