Dietle, Sandra

Dietle, Sandra is an individual health care provider with primary practice located at 8830 Centre St Ste 5 , Southaven MS 38671-2609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dietle, Sandra can be contacted via phone (662) 253-8324.

Contact Information

Primary practice address
8830 Centre St Ste 5 Southaven MS 38671-2609
Phone: (662) 253-8324
Fax: (662) 253-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2076 Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 2076 Mississippi

Profile Details

NPI number 1992086151
LBN Legal business name Dietle, Sandra
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Mar 17th, 2018 - about 7 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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