Individual
ALLISON BLAIR DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 RIDGLEA COUNTRY CLUB DR, BENBROOK, TX 76126-2224
(817) 703-1680
Mailing address
4208 RIDGLEA COUNTRY CLUB DR, BENBROOK, TX 76126-2224
(817) 703-1680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68145
TX
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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