Individual provider · Type 1 NPI

Kenneth Dittmar, M. S.

Marriage & Family Therapist · Fayetteville, NC

NPI number 1457447765 Active

Practice location

711 Executive Pl
Fayetteville, NC 28305-5193

Fax (910) 678-9963

Mailing address

109 Bradford Ave
Fayetteville, NC 28301-5401

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X503 (NC)
Marriage & Family Therapist Primary 106H00000X459 (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1457447765

Kenneth Dittmar, M. S.'s National Provider Identifier is 1457447765, issued on Oct 5, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fayetteville, NC. The record was last updated on Mar 29, 2010.