Individual provider · Type 1 NPI

Leslie Dieterle, B.S.

Counselor · Portland, OR

NPI number 1295976975 Active

Practice location

3550 SE Woodward St
Portland, OR 97202-1552

Call (503) 517-8663 Map

Fax (503) 943-4994

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Counselor 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 1295976975

Leslie Dieterle, B.S.'s National Provider Identifier is 1295976975, issued on Mar 10, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2009.