Dietrich, Kenda J.

Dietrich, Kenda J. is an sole proprietor health care provider with primary practice located at 5440 Old Brownsville Rd , Corpus Christi TX 78417-9765. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Dietrich, Kenda J. can be contacted via phone (361) 906-0166.

Contact Information

Primary practice address
5440 Old Brownsville Rd Corpus Christi TX 78417-9765
Phone: (361) 906-0166
Fax: (361) 994-7550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15820 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15820 Texas

Profile Details

NPI number 1538286414
LBN Legal business name Dietrich, Kenda J.
Credentials LPC, LPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Feb 11th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538286414 NPPES
Texas MEDICAID 0960528-02

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