Individual
CHRISTINE DIETERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCASA, NCC
Contact information
Practice address
118 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
(919) 942-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21639
NC
101YP2500X
Professional Counselor
Primary
10939
NC
Other
Enumeration date
07/23/2014
Last updated
04/08/2016
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