Individual
SUSAN D DIERCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13056 ATWOOD AVE, OMAHA, NE 68144-3721
(402) 916-9421
Mailing address
18909 MANDERSON ST, ELKHORN, NE 68022-5209
(563) 568-9848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14427
NE
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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