Individual
SANDRA B. DIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPC-MH
Contact information
Practice address
2120 3RD ST, BROOKINGS, SD 57006-2605
(605) 692-3871
(605) 692-0961
Mailing address
2120 3RD ST, BROOKINGS, SD 57006-2605
(605) 692-3871
(605) 692-0961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC7068
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2215
SD
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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