Individual provider · Type 1 NPI

Shannon Marie Dietrich, BA

Counselor · Quincy, IL

NPI number 1083708796 Active

Practice location

4409 Maine
Quincy, IL 62305-3646

Call (217) 223-0423 Map

Fax (217) 223-0461

Mailing address

3107 Fox Run East
Quincy, IL 62301

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1083708796

Shannon Marie Dietrich, BA's National Provider Identifier is 1083708796, issued on Oct 3, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Quincy, IL. The record was last updated on Jul 8, 2007.