Dillon, Ilene L.

Dillon, Ilene L. is an sole proprietor health care provider with primary practice located at 905 Sir Francis Drake Blvd Ste D , Kentfield CA 94904-1589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dillon, Ilene L. can be contacted via phone (415) 454-5363.

Contact Information

Primary practice address
905 Sir Francis Drake Blvd Ste D Kentfield CA 94904-1589
Phone: (415) 454-5363
Fax: (510) 223-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 7035 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 5747 California

Profile Details

NPI number 1932245701
LBN Legal business name Dillon, Ilene L.
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jan 26th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932245701 NPPES
California Other ZZZ70577Z BLUE SHIELD
California Other LCS 7035 BLUE SHIELD
California Other MFC 5747 BLUE SHIELD

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