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MRS. KRISTEN M DIETERT CRC
NPI 1023644465
Counselor - Addiction (Substance Use Disorder) in Evans, GA

Active since March 17, 2020
927 HUNTING HORN WAY W, EVANS, GA 30809(585) 474-6278 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Kristen M Dietert Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN M DIETERT CRC (NPI 1023644465) is an individual addiction (substance use disorder) provider in Evans, Georgia, licensed in Georgia (946) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1023644465
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KRISTEN M DIETERTCredential: CRC
Location Address927 HUNTING HORN WAY WEvans, GA 30809-4829
Mailing Address927 Hunting Horn Way WEvans, GA 30809-4829 · (585) 474-6278
Phone(585) 474-6278
Sole ProprietorYes
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1023644465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in GA · 946
927 HUNTING HORN WAY W, Evans, GA 30809
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Dietert's NPI number?

The NPI number for Kristen Dietert is 1023644465. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Kristen Dietert located?

Kristen Dietert practices at 927 Hunting Horn Way W, Evans, GA 30809. The listed phone number is (585) 474-6278.

What is Kristen Dietert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kristen Dietert was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.