Individual
CORI DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1709 124TH AVE NE UNIT 191, LAKE STEVENS, WA 98258-1807
(925) 529-1315
Mailing address
1709 124TH AVE NE UNIT 191, LAKE STEVENS, WA 98258-1807
(925) 529-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
03/09/2024
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