MAURICE MICHAEL DIETERLE

CLEVELAND, TN
NPI1629941794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-09-25
Last Update Date2025-09-25
Business Address
MAURICE MICHAEL DIETERLE BA
3575 KEITH ST NW
CLEVELAND, TN 37312-4324
Phone number: 423-458-6660
Mailing Address
MAURICE MICHAEL DIETERLE BA
865 BACK VALLEY RD
DAYTON, TN 37321-6817
Phone number: 304-559-1597