Provider / Organization | NPI | Date Certified |
---|---|---|
CORI DEITZ | 1801495080 | 2024-03-09 |
Cori Deitz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801495080. Registration indicates Cori Deitz is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Cori Deitz PHD |
Practice Office Address | 1709 124TH AVE NE UNIT 191 LAKE STEVENS, WA US |
Practice Office Telephone | 9255291315 |
Mailing Address | 1709 124TH AVE NE UNIT 191 LAKE STEVENS, WA 982581807 US |
Business Telephone | 9255291315 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
193400000X SING | Group Code |