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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRYAN RUSSELL DIETERICH

Active Sole Proprietor

MR. BRYAN RUSSELL DIETERICH is a Counselor healthcare provider located in BURNSVILLE, North Carolina. NPI 1588782908 is currently active in the NPPES registry. Verify at CMS.

Counselor · BURNSVILLE, NC

Registration Details

NPI Number
1588782908
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2007 (19.430292784265 yrs)
Last Updated
Oct 5, 2010
Sole Proprietor
Yes

Practice Information

Address
70 CC ALLEN RD
BURNSVILLE, NC, 287146875
Browse NC providers · Browse ZIP 28714
Phone
8289896004
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in BURNSVILLE, NC

Name Credential NPI
JESSICA JOANNA RUEGG 1487284964
LARUE ROGERS NEILSON LCMHCA 1710587837
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.