Individual provider · Type 1 NPI
Mark Allen Dietrich, MA
Mental Health Counselor · Crystal River, FL
NPI number
1386166189
Active
Practice location
708 NE 6th Street, Same
Crystal River, FL 34428-3704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1386166189
Mark Allen Dietrich, MA's National Provider Identifier is 1386166189, issued on Jul 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crystal River, FL. The record was last updated on Jul 21, 2022.