| Doctor Name: | NINA BETH DILLENBECK |
| NPI Number: | 1295174613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LGPC |
| License Number: | AC1186 |
| Business Practice Address: | 25480 Point Lookout Rd Leonardtown, MD - 206503801 |
| Business Phone Number: | 4433981700 |
| Business Fax Number: | |
| Mailing Address: | 17 York St, TANEYTOWN |
| State: | MD |
| Postal Code: | 217872146 |
| Phone Number: | 4433981700 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2013 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | AC1186 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |