Individual
JILLIAN MARIE DIEDIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
3883 NORMAL BLVD STE 204, LINCOLN, NE 68506-5218
(402) 204-0233
Mailing address
3883 NORMAL BLVD STE 204, LINCOLN, NE 68506-5218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13687
NE
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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