Individual provider · Type 1 NPI
Ebonye R. Dillard, LADAC II
Addiction (Substance Use Disorder) Counselor · Antioch, TN
NPI number
1720723638
Active
Practice location
4065 Cane Ridge Pkwy Apt 227
Antioch, TN 37013-4742
Mailing address
PO Box 22065
Nashville, TN 37202-2065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1271 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1720723638
Ebonye R. Dillard, LADAC II's National Provider Identifier is 1720723638, issued on May 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, TN. The record was last updated on May 4, 2022.