Individual
NINA BETH DILLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC LCPC CAC-AD
Contact information
Practice address
605 N BENTZ ST, SUITE 204, FREDERICK, MD 21701-4982
(443) 398-1700
Mailing address
17 YORK ST, TANEYTOWN, MD 21787-2146
(443) 398-1700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1186
MD
101YP2500X
Professional Counselor
Primary
LC6977
MD
Other
Enumeration date
06/19/2013
Last updated
08/26/2016
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