Individual
REBECCA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 NORTHLAND DR NE, ROCKFORD, MI 49341-7246
(616) 805-3660
Mailing address
145 TIMMER DR, SPARTA, MI 49345-8381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024182
MI
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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