Kathleen Diepenbrock, LPC

NPI #1700325461 in Hailey, Idaho

Provider Information

NPI Number
1700325461
Entity Type
Individual
Name
Kathleen Diepenbrock, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Feb 14, 2017
Last Updated
Feb 14, 2017

Practice Location

Address
314 S RIVER ST
Address 2
SUITE 202
City
Hailey
State
Idaho
ZIP Code
83333-8851
Phone
(208) 788-5625

Specialties & Taxonomy Codes

Specialty
Counselor

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