Individual provider · Type 1 NPI
Diane Chambers Dierks, MFT
Marriage & Family Therapist · Lawrenceville, GA
Practice location
400 W Crogan St, Suite D
Lawrenceville, GA 30046-4736
Fax (404) 592-1257
Mailing address
PO Box 1016
Lawrenceville, GA 30046-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MFT001084 (GA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1013159151
Diane Chambers Dierks, MFT's National Provider Identifier is 1013159151, issued on Apr 6, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 2, 2012.