Individual provider · Type 1 NPI

Lara Marie Dietrich, L.S.W.

Mental Health Counselor · Harrisburg, PA

NPI number 1699082263 Active

Practice location

1100 S Cameron St
Harrisburg, PA 17104-2547

Fax (717) 238-7894

Mailing address

3085 W College Ave
York, PA 17408-8736

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699082263

Lara Marie Dietrich, L.S.W.'s National Provider Identifier is 1699082263, issued on Sep 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Harrisburg, PA. The record was last updated on Sep 8, 2010.