Individual
MR. LISA DIANE DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6602 S. LEWIS AVENUE, SUITE A1, TULSA, OK 74136
(918) 828-7203
(539) 444-9475
Mailing address
6202 S LEWIS AVE STE A1, TULSA, OK 74136-1099
(580) 763-2256
(580) 762-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1642
OK
101YP2500X
Professional Counselor
Primary
1642
OK
Other
Enumeration date
02/27/2007
Last updated
02/23/2026
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