Individual provider · Type 1 NPI

Bethany R. Dillon, MA, LPCC, CCTP

Mental Health Counselor · Maple Grove, MN

NPI number 1164039905 Active

Practice location

12918 63rd Ave N
Maple Grove, MN 55369-6001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC01872 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1164039905

Bethany R. Dillon, MA, LPCC, CCTP's National Provider Identifier is 1164039905, issued on Sep 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 25, 2020.