Byronneshia Keishounda Dillon
Peer Specialist in Lake Charles, LA. Individual provider (NPI-1).
NPI number1679106959
StatusActive
Last updated in NPPESFeb 14, 2020
Details
- NPI
- 1679106959
- Entity type
- Individual (NPI-1)
- Name
- Byronneshia Keishounda Dillon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2020
- Certification date
- Feb 14, 2020
- Last updated
- Feb 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
751 Bayou Pines East Dr Ste CLake Charles, LA 70601-7196
Phone 337-433-3292
Mailing address
8326 Kelwood AveBaton Rouge, LA 70806-4803
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