Courtney Alexis Dietrich, is a
Marriage & Family Therapist based in Montesano, Washington. Courtney Alexis Dietrich is licensed to practice in Washington (license number LF61685787) and her current practice location is
221 W Wynooche Ave Unit B, Montesano, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 581-2008.
NPI number for Courtney Alexis Dietrich is 1215697982 and her current mailing address is 6608 Philmark Ln, Aberdeen, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215697982.
Healthcare Provider's Profile
Full Name | Courtney Alexis Dietrich |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 221 W Wynooche Ave Unit B, Montesano, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215697982
- Provider Enumeration Date: 12/22/2021
- Last Update Date: 06/04/2025
Medical Identifiers
Medical identifiers for Courtney Alexis Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215697982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LF61685787 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Alexis Dietrich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Courtney Alexis Dietrich, 6608 Philmark Ln, Aberdeen, WA 98520-7928 Ph: (360) 581-2008 | Courtney Alexis Dietrich, 221 W Wynooche Ave Unit B, Montesano, WA 98563-4401 Ph: (360) 581-2008 |
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