Individual
KAREN SUSAN DIERKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.C.C.
Contact information
Practice address
4539 COUNTY ROAD 5 2, DELTA, OH 43515-9658
(419) 460-1860
Mailing address
4539 COUNTY ROAD 5 2, DELTA, OH 43515-9658
(419) 460-1860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0019326
OH
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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