Dili, Jean

Dili, Jean is an sole proprietor health care provider with primary practice located at 285 N Broad St , Globe AZ 85501-2503. 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dili, Jean can be contacted via phone (928) 961-4774.

Contact Information

Primary practice address
285 N Broad St Globe AZ 85501-2503
Phone: (928) 961-4774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11693 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X 106105 Arizona

Profile Details

NPI number 1184753378
LBN Legal business name Dili, Jean
Credentials BC-DMT, LISAC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jun 2nd, 2021 - about 5 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 1184753378 NPPES
Arizona Other 11693 STATE SUB ABUSE LICENSE
Arizona Other 106105 STATE SUB ABUSE LICENSE

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