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Lisa Marie Dillman, MA,QMHP,CADCI
Student in an Organized Health Care Education/Training Program in Mcminnville, Oregon
NPI 1457502379

Lisa Marie Dillman is a Student in an Organized Health Care Education/Training Program based in Mcminnville, OR. Lisa Marie Dillman practices in Mcminnville, OR and has the professional credentials of MA,QMHP,CADCI. The NPI Number for Lisa Marie Dillman is 1457502379 and holds a License No. (Oregon).

The current practice location address for Lisa Marie Dillman is 340 Ne Kirby St, Mcminnville, OR and can be reached out via phone at 781-510-1376.

Location: 340 Ne Kirby St, Mcminnville, OR, 97128-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457502379
Provider Name
Lisa Marie Dillman
Credential
MA,QMHP,CADCI
Provider Entity Type
Individual
Gender
Female
Address
340 Ne Kirby St, Mcminnville, OR, 97128-4301
Phone Number
781-510-1376
Fax Number
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Ne Kirby St
City
Mcminnville
State
Oregon
Zip
97128-4301
Phone Number
781-510-1376
Fax Number
person
Provider Business Mailing Address Details
Address
340 Ne Kirby St
City
Mcminnville
State
Oregon
Zip
97128-4301
Phone Number
781-510-1376
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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