Doctor Name: | ROBERT J DILDINE |
NPI Number: | 1164756896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC-S |
License Number: | E3260-S |
Business Practice Address: | 600 Freedom Dr Napoleon, OH - 435459038 |
Business Phone Number: | 4195991660 |
Business Fax Number: | 4195928336 |
Mailing Address: | 11263 River Rd, GRAND RAPIDS |
State: | OH |
Postal Code: | 435229338 |
Phone Number: | 4198321029 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2009 |
NPI Last Update Date: | 09/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E3260-S |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |