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Individual

MR. MATTHIAS A DIETRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7301 INDIAN SCHOOL RD NE STE A, ALBUQUERQUE, NM 87110-4504
(505) 363-2492
(505) 266-0441
Mailing address
7301 INDIAN SCHOOL RD NE STE A, ALBUQUERQUE, NM 87110-4504
(505) 363-2492
(505) 266-0441

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0205161
NM

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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