person
Dominique Dietz
Mental Health Counselor in Alton, Illinois
NPI 1790325801

Dominique Dietz is a Mental Health Counselor based in West Frankfort, IL and is specialized in Mental Health. Dominique Dietz practices in Alton, IL. The NPI Number for Dominique Dietz is 1790325801 and holds a License No. (Illinois).

The current practice location address for Dominique Dietz is 2615 Edwards St, Alton, IL and can be reached out via phone at 618-462-2331.

Location: 2615 Edwards St, Alton, IL, 62896-2210
person
Provider Profile Details
NPI Number
1790325801
Provider Name
Dominique Dietz
Credential
Provider Entity Type
Individual
Gender
Female
Address
2615 Edwards St, Alton, IL, 62896-2210
Phone Number
618-462-2331
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2615 Edwards St
City
State
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
person
Provider Business Mailing Address Details
Address
2615 Edwards St
City
State
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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