Individual
MRS. NANCY O. DIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, NCC
Contact information
Practice address
423 GOODE ST, HOUMA, LA 70360-4515
(985) 686-0432
Mailing address
314 ASHLAND DR, THIBODAUX, LA 70301-2904
(985) 686-0432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1657 (LPC)
LA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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