person
Mark Allen Dietrich, MA
Mental Health Counselor in Crystal River, Florida
NPI 1386166189

Mark Allen Dietrich is a Mental Health Counselor based in Crystal River, FL and is specialized in Mental Health. Mark Allen Dietrich practices in Crystal River, FL and has the professional credentials of MA. The NPI Number for Mark Allen Dietrich is 1386166189 and holds a License No. (Florida).

The current practice location address for Mark Allen Dietrich is 708 Ne 6Th Street, Crystal River, FL and can be reached out via phone at 352-212-8350.

Location: 708 Ne 6Th Street, Crystal River, FL, 34428-3704
person
Provider Profile Details
NPI Number
1386166189
Provider Name
Mark Allen Dietrich
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
708 Ne 6Th Street, Crystal River, FL, 34428-3704
Phone Number
352-212-8350
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
708 Ne 6Th Street
City
State
Zip
34428-3704
Phone Number
352-212-8350
Fax Number
person
Provider Business Mailing Address Details
Address
708 Ne 6Th Street
City
State
Zip
34428-3704
Phone Number
352-212-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Florida)
Definition
Definition to come...
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