MR. Bryan Russell Dieterich

NPI #1588782908 in Burnsville, North Carolina

Provider Information

NPI Number: 1588782908
Entity Type: Individual
Name: MR. Bryan Russell Dieterich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 26, 2007
Last Updated: Oct 5, 2010

Practice Location

Address: 70 CC ALLEN RD
City: Burnsville
State: North Carolina
ZIP Code: 28714-6875
Phone: (828) 989-6004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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