person
Jennifer A Dietrich, SAC-IT
Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin
NPI 1326286147

Jennifer A Dietrich is an Addiction (Substance Use Disorder) Counselor based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). Jennifer A Dietrich practices in Waukesha, WI and has the professional credentials of SAC-IT. The NPI Number for Jennifer A Dietrich is 1326286147 and holds a License No. 13183-130 (Wisconsin).

The current practice location address for Jennifer A Dietrich is 2422 N Grandview Blvd, Waukesha, WI and can be reached out via phone at 262-549-6600 and via fax at 262-549-6698.

Location: 2422 N Grandview Blvd, Waukesha, WI, 53188
person
Provider Profile Details
NPI Number
1326286147
Provider Name
Jennifer A Dietrich
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
2422 N Grandview Blvd, Waukesha, WI, 53188
Phone Number
262-549-6600
Fax Number
262-549-6698
Provider Enumeration Date
02/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2422 N Grandview Blvd
City
State
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider Business Mailing Address Details
Address
2422 N Grandview Blvd
City
State
Zip
53188-6105
Phone Number
262-549-6600
Fax Number
262-549-6698
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13183-130 (Wisconsin)
Definition
Definition to come...
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