Individual
MRS. JENNIFER G DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9044 MANN DR, MECHANICSVILLE, VA 23116-2312
(804) 647-9802
(804) 746-5150
Mailing address
PO BOX 3372, MECHANICSVILLE, VA 23116-0032
(804) 647-9802
(804) 746-5150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904004730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945425
—
VA
Enumeration date
09/20/2006
Last updated
04/09/2014
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