| Dieffenbach Counseling, Pllc | |
|
2368 Joy Ave # Na White Bear Lake MN 55110-7409 | |
| (651) 338-9435 | |
| Not Available |
| Full Name | Dieffenbach Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2368 Joy Ave # Na, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Benjamin Paul Dieffenbach (CHIEF MANAGER) |
| Authorized Official Contact | 6513389435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dieffenbach Counseling, Pllc 2368 Joy Ave # Na White Bear Lake MN 55110-7409 Ph: (651) 338-9435 | Dieffenbach Counseling, Pllc 2368 Joy Ave # Na White Bear Lake MN 55110-7409 Ph: (651) 338-9435 |
| NPI Number | 1063299337 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063299337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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