Dominique Dietz is a mental health counselor in Alton, IL. Dominique Dietz NPI is 1790325801. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2615 EDWARDS ST
ALTON, IL
ZIP 62002-915
Phone: (618) 462-2331
The NPI 1790325801 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.