Kathleen Diepenbrock, LPC

NPI 1700325461 · on the registry since 2017 · sole proprietor

Practice

Address: 314 S River St
Suite 202
Hailey, ID 83333
Phone: (208) 788-5625
Fax: (208) 788-5692
Organisation at this address: S & M, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho