Individual
DILLON SAMUEL RYLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
3864 N. 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 302-7925
Mailing address
3003 N. CENTRAL AVE, SUITE 400, PHOENIX, AZ 85012-2929
(602) 302-7715
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155299
AZ
Other
Enumeration date
09/12/2023
Last updated
10/03/2023
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