Individual
DIETRA HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10906 N 153RD LN, SURPRISE, AZ 85379-5325
(623) 547-6496
(623) 547-6496
Mailing address
10906 N 153RD LN, SURPRISE, AZ 85379-5325
(623) 547-6496
(623) 547-6496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
251SOOOOOX
AZ
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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