Individual
MRS. DIANE CHAMBERS DIERKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
400 W CROGAN ST, SUITE D, LAWRENCEVILLE, GA 30046-4736
(404) 218-1739
(404) 592-1257
Mailing address
PO BOX 1016, LAWRENCEVILLE, GA 30046-1016
(404) 218-1739
(404) 592-1257
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001084
GA
Other
Enumeration date
04/06/2009
Last updated
02/02/2012
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