person
Jamie Diestelhorst
Professional Counselor in Wausau, Wisconsin
NPI 1245704188

Jamie Diestelhorst is a Professional Counselor based in Wausau, WI and is specialized in Professional. Jamie Diestelhorst practices in Wausau, WI. The NPI Number for Jamie Diestelhorst is 1245704188 and holds a License No. 4252-226 (Wisconsin).

The current practice location address for Jamie Diestelhorst is 631 Forest St, Wausau, WI and can be reached out via phone at 715-842-0944.

Location: 631 Forest St, Wausau, WI, 54403-5524
person
Provider Profile Details
NPI Number
1245704188
Provider Name
Jamie Diestelhorst
Credential
Provider Entity Type
Individual
Gender
Female
Address
631 Forest St, Wausau, WI, 54403-5524
Phone Number
715-842-0944
Fax Number
Provider Enumeration Date
01/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
631 Forest St
City
State
Zip
54403-5524
Phone Number
715-842-0944
Fax Number
person
Provider Business Mailing Address Details
Address
631 Forest St
City
State
Zip
54403-5524
Phone Number
715-842-0944
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4252-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4252-226 (Wisconsin)
Definition
Definition to come...
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