Shannon Marie Dietrich in Quincy - Counselor
Shannon Marie Dietrich - NPI 1083708796
Shannon Marie Dietrich is a Counselor in Quincy, Illinois. Shannon Marie Dietrich practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shannon Marie Dietrich is 1083708796. The last update date is 2007-07-08.
Shannon Marie Dietrich's current location address is 4409 Maine, Quincy, Illinois. You can contact this provider via phone number 2172230423 and fax number 2172230461. The mailing address for Shannon Marie Dietrich is 4409 Maine, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Marie Dietrich |
---|---|
Address | 4409 Maine, Quincy, Illinois |
Phone Number | 2172230423 |
Fax Number | 2172230461 |
Sole Proprietor | N |
Credentials | BA |
NPI Number Detail
NPI Number | 1083708796 |
---|---|
Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4409 Maine |
---|---|
City | Quincy |
State | Illinois (IL) |
Post Code | 623053646 |
Phone Number | 2172230423 |
Fax Number | 2172230461 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
---|---|
Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Marie Dietrich by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Marie Dietrich has been assigned the NPI (National Provider Identifier) 1083708796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shannon Marie Dietrich?
The Shannon Marie Dietrich is physically situated at 4409 Maine, in the city of Quincy, state of IL, with the postal code 623053646.
What is the area of specialization for Shannon Marie Dietrich, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Marie Dietrich is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
When was the Shannon Marie Dietrich's 1083708796 issued?
The Shannon Marie Dietrich's 1083708796 was issued on 2006-10-03.
When was the Shannon Marie Dietrich's information last updated?
The Shannon Marie Dietrich's information was last updated on 2007-07-08.