Individual
MRS. KAREN A. DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 473-0011
(208) 373-7755
Mailing address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 473-0011
(208) 373-7755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4358
ID
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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