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:
Health care specialties
| Specialty | Code | License # | 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 19 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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