BRALEY NICHOLE DIETZEN

NEWTON, IL
NPI1386225415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-04-20
Last Update Date2021-04-20
Business Address
Miss BRALEY NICHOLE DIETZEN MS, LPC
106 EDWARDS ST
NEWTON, IL 62448-1736
Phone number: 618-783-4154
Mailing Address
Miss BRALEY NICHOLE DIETZEN MS, LPC
106 EDWARDS ST
NEWTON, IL 62448-1736
Phone number: