Dierks, Diane Chambers
Dierks, Diane Chambers is an sole proprietor health care provider with primary practice located at 400 W Crogan St Suite D, Lawrenceville GA 30046-4736. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dierks, Diane Chambers can be contacted via phone (404) 218-1739.Contact Information
Primary practice address
400 W Crogan St Suite D
Lawrenceville GA 30046-4736
Phone: (404) 218-1739
Fax: (404) 592-1257
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT001084 | Georgia |
Profile Details
NPI number | 1013159151 |
---|---|
LBN Legal business name | Dierks, Diane Chambers |
Credentials | Marriage and Family Therapist (MFT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 6th, 2009 |
Last updated | Feb 2nd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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