Individual provider · Type 1 NPI

Braley Nichole Dietzen, MS, LPC

Mental Health Counselor · Newton, IL

NPI number 1386225415 Active

Practice location

106 Edwards St
Newton, IL 62448-1736

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386225415

Braley Nichole Dietzen, MS, LPC's National Provider Identifier is 1386225415, issued on Apr 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newton, IL. The record was last updated on Apr 20, 2021.