Most Relevant Information
Provider Data
| NPI Number: | 1003221383 |
| Provider Name: | CHRISTIANE DIECKMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IHM12064 |
Most Important Dates
| Enumeration Date: | 06/25/2014 |
| Last Updated: | 08/27/2016 |
Provider Practice Location
7550 FUTURES DR STE 105
ORLANDO
FL
328199096
Practice Location Phone/Fax
| Phone: | 4077307983 |
| Fax: |
Provider Mailing Location
1112 CHEYENNE DR
INDIAN HARBOUR BEACH
FL
329374168
Provider Mailing Phone/Fax
| Phone: | 3212054182 |
| Fax: |