Doctor Name: | ANDREA S DILLEY |
NPI Number: | 1669608089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CRC, CSAC |
License Number: | 00067172 |
Business Practice Address: | 311 S Monroe Ave Covington, VA - 244261635 |
Business Phone Number: | 5409652100 |
Business Fax Number: | 5409652105 |
Mailing Address: | 428 E Trout St, COVINGTON |
State: | VA |
Postal Code: | 244262613 |
Phone Number: | 5409686693 |
Fax Number: | 5409652105 |
NPI Enumeration Date: | 06/01/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00067172 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
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 |