Individual
MR. RYAN DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC2930
MD
101YP2500X
Professional Counselor
Primary
LC2930
MD
Other
Enumeration date
07/31/2009
Last updated
09/23/2025
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