Individual
JENNIFER JO DIETHRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 JENKINS RANCH RD, DURANGO, CO 81301-9474
(970) 946-7002
Mailing address
770 SUNDANCE CIR, DURANGO, CO 81303-8853
(970) 946-7002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0016973
CO
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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