Dieffenbach Counseling, PLLC
Organization Active NPI Community/Behavioral Health Agency · White Bear Lake, MN
NPI 1063299337 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1063299337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DIEFFENBACH COUNSELING, PLLC
- Practice address
- 2368 Joy Ave # NA
White Bear Lake, MN 55110-7409 - Phone
- (651) 338-9435
- NPI assigned
- Sep 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Benjamin Paul Dieffenbach, LICSW
- Title
- Chief Manager
- Phone
- (651) 338-9435
Practitioners 4
-
Benjamin Dieffenbach, MSW, LICSW
-
Dina Lynn Robinson, LPCC
-
Kathryn Margaret Stemwedel, MA, LPCC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
2368 Joy Ave # NA
White Bear Lake, MN 55110-7409
Mailing address
2368 Joy Ave # NA
White Bear Lake, MN 55110-7409
Phone (651) 338-9435
Other providers in White Bear Lake, MN
- Dennis a. Smith & Associates, P. a.
- Scott Allen Depaulis
- Komal Desai
- Heather Rose Deutsch
- Catherine Agallo Deya
- Benjamin Dieffenbach
- Cristen Dilks
- Jill Dimitri
- Delores A Dinzeo
- Jordan Dittberner
All providers in White Bear Lake, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.