Individual
MR. VICTOR H DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.P.C., J.D.
Contact information
Practice address
45 S PARK BLVD, SUITE # 255, GLEN ELLYN, IL 60137-6280
(630) 942-8803
(630) 942-8845
Mailing address
45 S PARK BLVD, SUITE # 255, GLEN ELLYN, IL 60137-6280
(630) 942-8803
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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