Individual
ELIZABETH DIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-4000
Mailing address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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