Individual
COURTNEY ALEXIS DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W WYNOOCHE AVE UNIT B, MONTESANO, WA 98563-4401
(360) 581-2008
Mailing address
6608 PHILMARK LN, ABERDEEN, WA 98520-7928
(360) 581-2008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61685787
WA
Other
Enumeration date
12/22/2021
Last updated
06/04/2025
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