Provider Demographics
NPI:1467966176
Name:DILLON, ERIN DANNIELLE (RN, CLC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:DANNIELLE
Last Name:DILLON
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ELM ST
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1262
Mailing Address - Country:US
Mailing Address - Phone:201-893-8538
Mailing Address - Fax:
Practice Address - Street 1:17 ELM ST
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1262
Practice Address - Country:US
Practice Address - Phone:201-893-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201303101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty