MARK ALLEN DIETRICH MA NPI 1386166189

NPI Information

NPI: 1386166189
Provider Name: MARK ALLEN DIETRICH, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
708 NE 6TH STREET
SAME
CRYSTAL RIVER, FL
ZIP 34428
Phone: (352) 212-8350
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Mark Allen Dietrich, MA is a mental health counselor in Crystal River, FL. Mark Allen Dietrich, MA NPI is 1386166189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

708 NE 6TH STREET
SAME
CRYSTAL RIVER, FL
ZIP 34428-704
Phone: (352) 212-8350

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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