Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN MARIE DILLER, LAC
Active Sole ProprietorAUTUMN MARIE DILLER, LAC is a Social Worker healthcare provider located in ST. IGNATIUS, Montana. NPI 1134695091 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ST. IGNATIUS, MT
Registration Details
- NPI Number
- 1134695091
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2018 (7.8017085291635 yrs)
- Last Updated
- Apr 7, 2022
- Licenses
-
BBH-LAC-LIC-32707 (MT)32707 (MT)LCSW-41996 (ID)LSW41996 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 WOODCOCKS WAYST. IGNATIUS, MT, 59865Browse MT providers · Browse ZIP 59865
- Phone
- 4067453525
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.