Individual provider · Type 1 NPI

Susan Renee Diekman

Mental Health Counselor · St. Louis Park, MN

NPI number 1083320519 Active

Practice location

7601 Wayzata Blvd
St. Louis Park, MN 55426-1626

Mailing address

4121 145th Ave NW
Andover, MN 55304-3183

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083320519

Susan Renee Diekman's National Provider Identifier is 1083320519, issued on Jan 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 27, 2023.