Doctor Name: | MR. GEORGE DILLON |
NPI Number: | 1538472113 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CIT |
License Number: | CIT-3904 |
Business Practice Address: | 500 Albany Ave Hartford, CT - 061202508 |
Business Phone Number: | 8608088789 |
Business Fax Number: | 8608088771 |
Mailing Address: | 500 Albany Ave, HARTFORD |
State: | CT |
Postal Code: | 061202508 |
Phone Number: | 8608088789 |
Fax Number: | 8608088771 |
NPI Enumeration Date: | 07/23/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CIT-3904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |