NICHOLAS R DIETLEIN, PSYD
Social Work at 25 St, Salem, OR

License number
Oregon 1527
Category
Social Work
Type
Clinical
Address
Address
2601 25Th St SE SUITE 420, Salem, OR 97302
Phone
(503) 566-6533
(503) 566-9864 (Fax)
(503) 364-6093
(503) 364-5121 (Fax)
National Provider ID: 1326113705
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about NICHOLAS R DIETLEIN at bizstanding.com

NICHOLAS R. DIETLEIN, PSY.D. PC

Salem, OR

Registration:
Feb 19, 2003
Addresses:
2250 St Ne 2250 D St NE, Salem, OR 97301 (Mailing)
Mid Vly Counseling Ctr 2250 D St NE, Salem, OR 97301 (Physical)
State ID:
13140397
Business type:
Domestic Professional Corporation
Agent:
Nicholas Rdietlein,Mid Vly Counseling Ctr Inc 2250 D St NE, Salem, OR 97301 (Physical)

Professional information

Nicholas R Dietlein Photo 1

Nicholas R Dietlein, Salem OR
Specialties:
Clinical Psychology
Address:
2601 25Th St SE STE 420, Salem 97302
(503) 566-6533 (Phone), (503) 566-9864 (Fax)
Languages:
English

Nicholas R Dietlein Photo 2

Nicholas R Dietlein, Salem OR
Specialties:
Psychologist
Address:
2250 D St Ne, Salem, OR 97301

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