person
Jessica Dieteman, LMHC
Mental Health Counselor in Lackawanna, New York
NPI 1043081367

Jessica Dieteman is a Mental Health Counselor based in Lackawanna, NY and is specialized in Mental Health. Jessica Dieteman practices in Lackawanna, NY and has the professional credentials of LMHC. The NPI Number for Jessica Dieteman is 1043081367 and holds a License No. 004561 (New York).

The current practice location address for Jessica Dieteman is 790 Ridge Rd, Lackawanna, NY and can be reached out via phone at 716-828-9651.

Location: 790 Ridge Rd, Lackawanna, NY, 14218-1629
person
Provider Profile Details
NPI Number
1043081367
Provider Name
Jessica Dieteman
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
790 Ridge Rd, Lackawanna, NY, 14218-1629
Phone Number
716-828-9651
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
790 Ridge Rd
City
State
Zip
14218-1629
Phone Number
716-828-9651
Fax Number
person
Provider Business Mailing Address Details
Address
790 Ridge Rd
City
State
Zip
14218-1629
Phone Number
716-828-9651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
004561 (New York)
Definition
Definition to come...
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