Individual
LINDSEY DIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 WESTBROOK RD, ESSEX, CT 06426-1518
(760) 767-0147
Mailing address
413 TOWN COLONY DR, MIDDLETOWN, CT 06457-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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