Individual
AMY MICHELE DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
640 ALDEN ST, MEADVILLE, PA 16335-2348
(814) 373-5266
(814) 373-5269
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-5266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005769
PA
Other
Enumeration date
03/02/2020
Last updated
04/04/2023
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