| Mr Charles Edward Dietzel Jr, | |
|
36 Hancock Ave, Hiram, ME 04041 | |
| (207) 625-8947 | |
| Not Available |
| Full Name | Mr Charles Edward Dietzel Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 36 Hancock Ave, Hiram, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326163486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Edward Dietzel Jr, 36 Handcoc Ave., Hiram, ME 04041 Ph: (207) 625-8947 | Mr Charles Edward Dietzel Jr, 36 Hancock Ave, Hiram, ME 04041 Ph: (207) 625-8947 |
Ms. Charlene Manchester Barton, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 River Road, Hiram, ME 04041 Phone: 207-625-3100 | |
Robert A Mcdonnell, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 River Rd, Hiram, ME 04041 Phone: 207-935-1078 | |
Theressa Maria Harrigan, LCPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 19 River Rd, Hiram, ME 04041 Phone: 207-305-0939 Fax: 207-767-0995 | |
Mrs. Willow Lilith Whitehouse Briggs, MA LCPC LSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 River Road Box318, Hiram, Hiram, ME 04041 Phone: 207-625-3100 |