Provider Demographics
NPI:1871995431
Name:EPLEY, DILLON WADE (MA, MFTA)
Entity type:Individual
Prefix:MR
First Name:DILLON
Middle Name:WADE
Last Name:EPLEY
Suffix:
Gender:M
Credentials:MA, MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3870 RUBY EPLEY RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-7910
Mailing Address - Country:US
Mailing Address - Phone:828-234-0901
Mailing Address - Fax:
Practice Address - Street 1:3870 RUBY EPLEY RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-7910
Practice Address - Country:US
Practice Address - Phone:828-234-0901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10008A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist