| Shelby Dietze, | |
|
1 N Main St Fl 3, Coudersport, PA 16915-1754 | |
| (814) 274-8651 | |
| Not Available |
| Full Name | Shelby Dietze |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1 N Main St Fl 3, Coudersport, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912756842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC017139 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PCF017139 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Dietze, 43 Servidea Dr, Ridgway, PA 15853-6333 Ph: (814) 776-2145 | Shelby Dietze, 1 N Main St Fl 3, Coudersport, PA 16915-1754 Ph: (814) 274-8651 |
Rebecca Keagle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 N Main St, Coudersport, PA 16915 Phone: 814-274-8651 Fax: 814-274-8652 | |
Whitney Lynette Thomas, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1 N Main St, Coudersport, PA 16915 Phone: 814-274-8651 Fax: 814-274-8652 | |
Brandi Norris, LFMT Counselor Medicare: Medicare Enrolled Practice Location: 1 N Main St, Coudersport, PA 16915 Phone: 814-776-0225 |