Individual provider · Type 1 NPI
Matthew Dietz, B.A.
Mental Health Counselor · Boulder, CO
NPI number
1639557291
Active
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
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 1639557291
Matthew Dietz, B.A.'s National Provider Identifier is 1639557291, issued on May 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jun 5, 2015.