Individual
ANDREA NOELLE DIEMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LAADC, ICAADC
Contact information
Practice address
4125 TEMESCAL ST, FAIR OAKS, CA 95628-7558
(562) 206-5444
Mailing address
9266 PASCAL CT, ELK GROVE, CA 95624-4633
(562) 206-5444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LR10120122
CA
101YP2500X
Professional Counselor
Primary
130217
CA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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