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Diedrich Wasserbauer
Mental Health Counselor in Glendale, Arizona
NPI 1225888142

Diedrich Wasserbauer is a Mental Health Counselor based in Glendale, AZ and is specialized in Mental Health. Diedrich Wasserbauer practices in Glendale, AZ. The NPI Number for Diedrich Wasserbauer is 1225888142 and holds a License No. LAC-19445 (Arizona).

The current practice location address for Diedrich Wasserbauer is 7075 W Bell Rd Ste A-1, Glendale, AZ and can be reached out via phone at 602-488-6104.

Location: 7075 W Bell Rd Ste A-1, Glendale, AZ, 85318-2468
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225888142
Provider Name
Diedrich Wasserbauer
Credential
Provider Entity Type
Individual
Gender
Male
Address
7075 W Bell Rd Ste A-1, Glendale, AZ, 85318-2468
Phone Number
602-488-6104
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
7075 W Bell Rd Ste A-1
City
Glendale
State
Arizona
Zip
85308-8546
Phone Number
602-488-6104
Fax Number
person
Provider Business Mailing Address Details
Address
7075 W Bell Rd Ste A-1
City
Glendale
State
Arizona
Zip
85308-8546
Phone Number
602-488-6104
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LAC-19445 (Arizona)
Definition
Definition to come...
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