National Provider Identifier
Jessica Dieteman, LMHC
Jessica Dieteman, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Lackawanna, NY and a listed phone number of (716) 828-9651.
Profile Overview
- NPI
- 1043081367
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 15, 2024
- Last Updated
- January 15, 2024
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9651
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1043081367
- Entity Type
- Individual
- Last Name
- Dieteman
- First Name
- Jessica
- Credential
- LMHC
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 828-9651
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9651
- Enumeration Date
- January 15, 2024
- Last Updated
- January 15, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)