person
Sandra Dietle, LPC
Professional Counselor in Southaven, Mississippi
NPI 1992086151

Sandra Dietle is a Professional Counselor based in Southaven, MS and is specialized in Professional. Sandra Dietle practices in Southaven, MS and has the professional credentials of LPC. The NPI Number for Sandra Dietle is 1992086151 and holds a License No. 2076 (Mississippi).

The current practice location address for Sandra Dietle is 8830 Centre St Ste 5, Southaven, MS and can be reached out via phone at 662-253-8324 and via fax at 662-253-8336. You can also correspond with Sandra Dietle through the mailing address at 8830 CENTRE ST STE 5, SOUTHAVEN, MS - 38671-2609 (mailing address contact number: 662-253-8324).

Location: 8830 Centre St Ste 5, Southaven, MS, 38671-2609
person
Provider Profile Details
NPI Number
1992086151
Provider Name
Sandra Dietle
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
8830 Centre St Ste 5, Southaven, MS, 38671-2609
Phone Number
662-253-8324
Fax Number
662-253-8336
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8830 Centre St Ste 5
City
State
Zip
38671-2609
Phone Number
662-253-8324
Fax Number
662-253-8336
person
Provider Business Mailing Address Details
Address
8830 Centre St Ste 5
City
State
Zip
38671-2609
Phone Number
662-253-8324
Fax Number
662-253-8336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2076 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2076 (Mississippi)
Definition
Definition to come...
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