| Stacey Dietrich, MA | |
|
51 Childrens Way, Enterprise, FL 32725-8135 | |
| (386) 668-4774 | |
| (386) 668-4486 |
| Full Name | Stacey Dietrich |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 51 Childrens Way, Enterprise, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902240864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Dietrich, MA 51 Childrens Way, Enterprise, FL 32725-8135 Ph: (386) 668-4774 | Stacey Dietrich, MA 51 Childrens Way, Enterprise, FL 32725-8135 Ph: (386) 668-4774 |
Yolaine Cotel, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 Fax: 386-668-0542 | |
Jennifer Marie Lands, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 | |
Jazmine Nicole Savage, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 Fax: 386-668-0542 | |
Rebekah W Best, MHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 | |
Mr. Kenneth Ray Davison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Children's Way, Enterprise, FL 32832 Phone: 286-668-4774 Fax: 386-668-0542 | |
Mrs. Tracey Crew Johnson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 Fax: 386-668-0542 | |
Kimberly Bethea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Childrens Way, Enterprise, FL 32725 Phone: 386-668-4774 |