Individual
MR. JOHN KAISER DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LCDC
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 818-4126
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 818-4126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10775
TX
104100000X
Social Worker
Primary
50213
TX
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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