Jessica Dieteman, LMHC
NPI #1043081367 in Lackawanna, New York
Provider Information
- NPI Number
- 1043081367
- Entity Type
- Individual
- Name
- Jessica Dieteman, LMHC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC
- Enumeration Date
- Jan 15, 2024
- Last Updated
- Jan 15, 2024
Practice Location
- Address
- 790 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1629
- Phone
- (716) 828-9651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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