person
Mr. Shaun Dieterich, LMHC
Mental Health Counselor in Hauppauge, New York
NPI 1235400599

Shaun Dieterich is a Mental Health Counselor based in Hauppauge, NY and is specialized in Mental Health. Shaun Dieterich practices in Hauppauge, NY and has the professional credentials of LMHC. The NPI Number for Shaun Dieterich is 1235400599 and holds a License No. 004586 (New York).

The current practice location address for Shaun Dieterich is 121 S Plaisted Ave, Hauppauge, NY and can be reached out via phone at 631-780-5828.

Location: 121 S Plaisted Ave, Hauppauge, NY, 11788-2755
person
Provider Profile Details
NPI Number
1235400599
Provider Name
Shaun Dieterich
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
121 S Plaisted Ave, Hauppauge, NY, 11788-2755
Phone Number
631-780-5828
Fax Number
Provider Enumeration Date
01/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 S Plaisted Ave
City
State
Zip
11788-2755
Phone Number
631-780-5828
Fax Number
person
Provider Business Mailing Address Details
Address
121 S Plaisted Ave
City
State
Zip
11788-2755
Phone Number
631-780-5828
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
004586 (New York)
Definition
Definition to come...
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