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
Fax: (404) 592-1257
Website:

Health care specialties

SpecialtyCodeLicense #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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