Individual
ANGELA DIECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
228 W 2ND ST, MUSCATINE, IA 52761-3738
(563) 316-2343
Mailing address
228 W 2ND ST, MUSCATINE, IA 52761-3738
(563) 316-2343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
074944
IA
Other
Enumeration date
11/04/2014
Last updated
07/21/2022
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