MR. LISA DIETZ, M.S.

Counselor - Mental Health

Active Individual
NPI: 1952438293

Practice Address

222 E GRAND AVE
SUITE 404
Ponca City, OK 74601

Phone: (580) 763-2256

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 1642 (OK)

Frequently Asked Questions

NPI 1952438293 is the National Provider Identifier for MR. LISA DIETZ, M.S., a Counselor - Mental Health provider located in Ponca City, OK. This NPI was enumerated on February 27, 2007.
MR. LISA DIETZ, M.S. practices at 222 E GRAND AVE, SUITE 404, Ponca City, OK 74601.

Quick Facts

NPI
1952438293
Type
Individual
Enumerated
Feb 27, 2007
Last Updated
Jul 8, 2007

Nearby Providers