Individual provider · Type 1 NPI

Lisa Marie Dillman, MA, QMHP, CADC I

Student in an Organized Health Care Education/Training Program · Mcminnville, OR

NPI number 1457502379 Active

Practice location

340 NE Kirby St
Mcminnville, OR 97128-4301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1457502379

Lisa Marie Dillman, MA, QMHP, CADC I's National Provider Identifier is 1457502379, issued on Oct 9, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mcminnville, OR. The record was last updated on Oct 19, 2021.