Individual
MS. BEVERLY JANE DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS-LLL
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 751-5050
Mailing address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 751-5050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00-85-0200517
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
C040700117
CA
171M00000X
Case Manager/Care Coordinator
Primary
C04700117
CA
Other
Enumeration date
11/06/2015
Last updated
06/19/2024
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