Individual
MR. ADAM WILLIAM DIESTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-2385
Mailing address
3107 VALLEY FORGE DR, STOCKTON, CA 95209-2128
(209) 473-4740
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
44418
CA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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