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Jennifer Leala Dietzen
Mental Health Counselor in San Diego, California
NPI 1851933683

Jennifer Leala Dietzen is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Jennifer Leala Dietzen practices in San Diego, CA. The NPI Number for Jennifer Leala Dietzen is 1851933683 and holds a License No. (California).

The current practice location address for Jennifer Leala Dietzen is 3148 Midway Dr, San Diego, CA and can be reached out via phone at 619-363-0853.

Location: 3148 Midway Dr, San Diego, CA, 92110-4539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851933683
Provider Name
Jennifer Leala Dietzen
Credential
Provider Entity Type
Individual
Gender
Female
Address
3148 Midway Dr, San Diego, CA, 92110-4539
Phone Number
619-363-0853
Fax Number
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3148 Midway Dr
City
San Diego
State
California
Zip
92110-4539
Phone Number
619-363-0853
Fax Number
person
Provider Business Mailing Address Details
Address
3148 Midway Dr
City
San Diego
State
California
Zip
92110-4539
Phone Number
619-363-0853
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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