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Mr. Kenneth Dittmar, MS
Marriage & Family Therapist in Fayetteville, North Carolina
NPI 1457447765

Kenneth Dittmar is a Marriage & Family Therapist based in Fayetteville, NC. Kenneth Dittmar practices in Fayetteville, NC and has the professional credentials of MS. The NPI Number for Kenneth Dittmar is 1457447765 and holds a License No. 503 (North Carolina).

The current practice location address for Kenneth Dittmar is 711 Executive Pl, Fayetteville, NC and can be reached out via phone at 910-222-6357 and via fax at 910-678-9963. You can also correspond with Kenneth Dittmar through the mailing address at 109 BRADFORD AVE, FAYETTEVILLE, NC - 28301-5401 (mailing address contact number: 910-323-2311).

Location: 711 Executive Pl, Fayetteville, NC, 28301-5401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457447765
Provider Name
Kenneth Dittmar
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
711 Executive Pl, Fayetteville, NC, 28301-5401
Phone Number
910-222-6357
Fax Number
910-678-9963
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6107330 05 NC
institution
Provider Business Practice Location Address Details
Address
711 Executive Pl
City
Fayetteville
State
North Carolina
Zip
28305-5193
Phone Number
910-222-6357
Fax Number
910-678-9963
person
Provider Business Mailing Address Details
Address
109 Bradford Ave
City
Fayetteville
State
North Carolina
Zip
28301-5401
Phone Number
910-323-2311
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
459 (North Carolina)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
503 (North Carolina)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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