Individual
JAMES CORNELIUS DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 HARRINGTON ST, BEAUFORT, SC 29902-4179
(843) 473-6429
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
(843) 524-8899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
576000922
SC
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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