Individual
MR. DANIEL J DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2400 RAVINE WAY, GLENVIEW, IL 60025-7652
(847) 730-3042
Mailing address
650 WAUKEGAN RD UNIT 110, GLENVIEW, IL 60025-4384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.016975
IL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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