Kellie Elaine Deitrich, MS Valid NPI
Individual provider · Counselor · Reedsburg, WI
- NPI
- 1376295683
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- License number
- 5124-226 (WI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
Practice location
2155 E Main St
Reedsburg, WI 53959-9440
(608) 415-9956