Individual provider · Type 1 NPI

Diana Althea Pattillo, L.C.S.W.

Addiction (Substance Use Disorder) Counselor · Fort Benning, GA

NPI number 1467549733 Active

Practice location

Ft Benning Asap, 7950 Martin Loop
Fort Benning, GA 31905-0000

Mailing address

PO Box 53695
Fort Benning, GA 31995-3695

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSW3846 (FL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467549733

Diana Althea Pattillo, L.C.S.W.'s National Provider Identifier is 1467549733, issued on Oct 6, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Benning, GA. The record was last updated on Jul 8, 2007.