Michelle Diedrichsen

NPI #1063805760 in Fallon, Nevada

Provider Information

NPI Number
1063805760
Entity Type
Organization
Organization Name
Michelle Diedrichsen
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 5, 2015
Last Updated
Mar 5, 2015

Practice Location

Address
295 E PARK ST
City
Fallon
State
Nevada
ZIP Code
89406-3417
Phone
(775) 426-9319

Authorized Official

Name
MICHELLE LAUREN DIEDRICHSEN
Title
BST
Phone
(775) 426-9319

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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