Jillson, Daphyne Joy

Jillson, Daphyne Joy is an individual health care provider with primary practice located at 56 Club Manor Dr Suite 100, Pueblo CO 81008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jillson, Daphyne Joy can be contacted via phone (719) 595-7728.

Contact Information

Primary practice address
56 Club Manor Dr Suite 100 Pueblo CO 81008
Phone: (719) 595-7728
Fax: (719) 584-4808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3789 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1375 Colorado

Profile Details

NPI number 1154483071
LBN Legal business name Jillson, Daphyne Joy
Credentials MA LPC CACIII
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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