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Individual

COURTNEY DIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3330 BOURBON ST STE 112, FREDERICKSBURG, VA 22408-7333
(540) 416-2850
Mailing address
3330 BOURBON ST STE 112, FREDERICKSBURG, VA 22408-7333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0906014167
VA
1041C0700X
Clinical Social Worker
0906014167
VA

Other

Enumeration date
05/31/2024
Last updated
08/01/2024
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