person
Diane Luebke
Addiction (Substance Use Disorder) Counselor in West Allis, Wisconsin
NPI 1225215460

Diane Luebke is an Addiction (Substance Use Disorder) Counselor based in West Allis, WI and is specialized in Addiction (Substance Use Disorder). Diane Luebke practices in West Allis, WI. The NPI Number for Diane Luebke is 1225215460 and holds a License No. 15302-130 (Wisconsin).

The current practice location address for Diane Luebke is 2187 S 85Th St, West Allis, WI and can be reached out via phone at 414-321-2648 and via fax at 414-321-2676.

Location: 2187 S 85Th St, West Allis, WI, 53227-1747
person
Provider Profile Details
NPI Number
1225215460
Provider Name
Diane Luebke
Credential
Provider Entity Type
Individual
Gender
Female
Address
2187 S 85Th St, West Allis, WI, 53227-1747
Phone Number
414-321-2648
Fax Number
414-321-2676
Provider Enumeration Date
01/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15302-130 01 WI SAC-IT
institution
Provider Business Practice Location Address Details
Address
2187 S 85Th St
City
State
Zip
53227-1747
Phone Number
414-321-2648
Fax Number
414-321-2676
person
Provider Business Mailing Address Details
Address
2187 S 85Th St
City
State
Zip
53227-1747
Phone Number
414-321-2648
Fax Number
414-321-2676
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15302-130 (Wisconsin)
Definition
Definition to come...
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