Dillon, Lana Jo

Dillon, Lana Jo is an individual health care provider with primary practice located at 1715 Linwood Dr , Paragould AR 72450-5820. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dillon, Lana Jo can be contacted via phone (870) 236-5880.

Contact Information

Primary practice address
1715 Linwood Dr Paragould AR 72450-5820
Fax: (870) 236-5757
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0509062 Arkansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 07-12E Arkansas

Profile Details

NPI number 1710204375
LBN Legal business name Dillon, Lana Jo
Credentials LPC, LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2010
Last updated Jul 29th, 2010 - about 15 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 1710204375 NPPES
Arkansas MEDICAID 172086795

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