DILLON JAMES BAACK

LOS ANGELES, CA
NPI1033070313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  15637)
Enumeration Date2025-11-18
Last Update Date2025-11-18
Business Address
DILLON JAMES BAACK SUDCC-I
5369 W PICO BLVD
LOS ANGELES, CA 90019-4037
Phone number: 323-792-1700
Mailing Address
DILLON JAMES BAACK SUDCC-I
1424 12TH ST APT G
SANTA MONICA, CA 90401-3019
Phone number: