Individual
CARISSA MARIE DILLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAAC15454
Contact information
Practice address
7802 N 43RD AVE STE 5, GLENDALE, AZ 85301-8111
(623) 215-1212
Mailing address
1450 E BELL RD APT 2027, PHOENIX, AZ 85022-2762
(602) 877-1175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAAC15454
AZ
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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