Edmund V Dickriede Valid NPI
Individual provider · Mental Health Counselor · Eaton, OH
- NPI
- 1770818387
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- C0002361 (OH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-10-15
- Last updated
- 2009-10-15
Practice location
2172a Us Route 127 N
Eaton, OH 45320-9289
(937) 456-1915