Healthcare Provider Details

I. General information

NPI: 1649349515
Provider Name (Legal Business Name): CYNTHIA N DILLON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 TURKEY POINT RD
NORTH EAST MD
21901-5452
US

IV. Provider business mailing address

85 WALBECK LN
NORTH EAST MD
21901-5915
US

V. Phone/Fax

Practice location:
  • Phone: 410-287-5235
  • Fax: 410-287-2556
Mailing address:
  • Phone: 410-287-4230
  • Fax: 410-287-4231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberLC2187
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2187
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: