Provider Demographics
NPI:1417071986
Name:DILLINGS, JEROME (LPC)
Entity Type:Individual
Prefix:MR
First Name:JEROME
Middle Name:
Last Name:DILLINGS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9726 PHIL HALSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-2879
Mailing Address - Country:US
Mailing Address - Phone:713-927-6685
Mailing Address - Fax:
Practice Address - Street 1:9726 PHIL HALSTEAD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-2879
Practice Address - Country:US
Practice Address - Phone:713-927-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional