Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE DIETZ
ActiveDOMINIQUE DIETZ is a Mental Health Counselor healthcare provider located in ALTON, Illinois. NPI 1790325801 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ALTON, IL
Registration Details
- NPI Number
- 1790325801
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2020 (6.5693109099063 yrs)
- Last Updated
- Jan 7, 2020
Practice Information
- Address
-
2615 EDWARDS STALTON, IL, 620023915Browse IL providers · Browse ZIP 62002
- Phone
- 6184622331
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in ALTON, IL
| Name | Credential | NPI |
|---|---|---|
| LINDA IRENE MURRAY | LCPC, ATR-BC | 1619907219 |
| MS. MONICA MOFFET | LCPC | 1730244104 |
| CHRISTOPHER LILJEDAHL | MA, LCPC | 1710223227 |
| RANDY FISCHER | LPC | 1376955039 |
| ANDILYN BURGESS | — | 1992105480 |
| BRITTANY PINNON-BECKER | MSSW, LCPC | 1912309576 |
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.