KRISTEN M DIETERT

EVANS, GA
NPI1023644465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  946)
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
Mrs. KRISTEN M DIETERT CRC
927 HUNTING HORN WAY W
EVANS, GA 30809-4829
Phone number: 585-474-6278
Mailing Address
Mrs. KRISTEN M DIETERT CRC
927 HUNTING HORN WAY W
EVANS, GA 30809-4829
Phone number: 585-474-6278