NPI 1013159151

Diane Chambers Dierks, MFT

Practitioner Marriage & Family Therapist Lawrenceville, GA

Practice location

Address: 400 W Crogan St Suite D, Lawrenceville, GA 30046-4736
Phone: (404) 218-1739
Fax: (404) 592-1257
Mailing address: PO Box 1016, Lawrenceville, GA 30046-1016

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT001084 (GA)

Other Marriage & Family Therapist providers in Georgia →

Registry record

NPI: 1013159151
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2009
Record last updated: 2 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.