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Individual

MARLA DIETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
407 N WALSH ST, CARSON CITY, NV 89701-4268
(661) 373-3843
Mailing address
PO BOX 214, GENOA, NV 89411-0214
(661) 373-3843

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CP1222-R
NV
101YP2500X
Professional Counselor
LPCC3394
CA

Other

Enumeration date
10/16/2019
Last updated
10/16/2019
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