SANDRA DIETLE, LPC

Counselor - Professional

Active Individual
NPI: 1992086151

Practice Address

8830 CENTRE ST STE 5
Southaven, MS 38671

Phone: (662) 253-8324

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 2076 (MS)
Counselor - Professional 101YP2500X Yes 2076 (MS)

Frequently Asked Questions

NPI 1992086151 is the National Provider Identifier for SANDRA DIETLE, LPC, a Counselor - Professional provider located in Southaven, MS. This NPI was enumerated on September 1, 2011.
SANDRA DIETLE, LPC practices at 8830 CENTRE ST STE 5, Southaven, MS 38671.

Quick Facts

NPI
1992086151
Type
Individual
Enumerated
Sep 1, 2011
Last Updated
Mar 17, 2018

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