ALLISON BLAIR DIETRICH
NPI 1891448163
Counselor - Professional in Benbrook, TX
Active since January 27, 2022
About Allison Blair Dietrich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON BLAIR DIETRICH (NPI 1891448163) is an individual professional provider in Benbrook, Texas, licensed in Texas (68145) and active in the NPI registry since January 2022.
NPPES Registry Identity
NPI1891448163
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALLISON BLAIR DIETRICH
Location Address4208 RIDGLEA COUNTRY CLUB DRBenbrook, TX 76126-2224
Mailing Address4208 Ridglea Country Club DrBenbrook, TX 76126-2224 · (817) 703-1680
Phone(817) 703-1680
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1891448163 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 68145
4208 RIDGLEA COUNTRY CLUB DR, Benbrook, TX 76126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891448163, enumerated as an "individual" on January 27, 2022.
The provider is located at 4208 RIDGLEA COUNTRY CLUB DR BENBROOK, TX 76126 and the phone number is (817) 703-1680.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
