Individual provider · Type 1 NPI
Terri C. Dierkes, LMSW
Mental Health Counselor · Fairfield, CT
NPI number
1073405478
Active
Practice location
71 Richard Pl
Fairfield, CT 06824-2245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 10949 (CT) |
Mental Health Counselor: Definition to come...
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About NPI 1073405478
Terri C. Dierkes, LMSW's National Provider Identifier is 1073405478, issued on Jul 18, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CT. The record was last updated on Jul 18, 2025.