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Kellie Elaine Deitrich, MS
Counselor in Reedsburg, Wisconsin
NPI 1376295683

Kellie Elaine Deitrich is a Counselor based in Reedsburg, WI. Kellie Elaine Deitrich practices in Reedsburg, WI and has the professional credentials of MS. The NPI Number for Kellie Elaine Deitrich is 1376295683 and holds a License No. 5124-226 (Wisconsin).

The current practice location address for Kellie Elaine Deitrich is 2155 E Main St, Reedsburg, WI and can be reached out via phone at 608-415-9956.

Location: 2155 E Main St, Reedsburg, WI, 53959-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376295683
Provider Name
Kellie Elaine Deitrich
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2155 E Main St, Reedsburg, WI, 53959-1119
Phone Number
608-415-9956
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2155 E Main St
City
Reedsburg
State
Wisconsin
Zip
53959-9440
Phone Number
608-415-9956
Fax Number
person
Provider Business Mailing Address Details
Address
2155 E Main St
City
Reedsburg
State
Wisconsin
Zip
53959-9440
Phone Number
608-415-9956
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5124-226 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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