Individual
DIANE DICHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HARVARD ST, BROOKLINE, MA 02446-6478
(617) 319-4641
Mailing address
1925 COMMONWEALTH AVE, APT. #1118, BRIGHTON, MA 02135-5959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4525
MA
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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