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Diane Marie Hietpas, MA,SAC
Addiction (Substance Use Disorder) Counselor in Keshena, Wisconsin
NPI 1386367795

Diane Marie Hietpas is an Addiction (Substance Use Disorder) Counselor based in Keshena, WI and is specialized in Addiction (Substance Use Disorder). Diane Marie Hietpas practices in Keshena, WI and has the professional credentials of MA,SAC. The NPI Number for Diane Marie Hietpas is 1386367795 and holds a License No. 16529-131 (Wisconsin).

The current practice location address for Diane Marie Hietpas is W3275 Wolf River Dr, Keshena, WI and can be reached out via phone at 715-799-5400 and via fax at 715-799-1326.

Location: W3275 Wolf River Dr, Keshena, WI, 54135-0970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386367795
Provider Name
Diane Marie Hietpas
Credential
MA,SAC
Provider Entity Type
Individual
Gender
Female
Address
W3275 Wolf River Dr, Keshena, WI, 54135-0970
Phone Number
715-799-5400
Fax Number
715-799-1326
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
W3275 Wolf River Dr
City
Keshena
State
Wisconsin
Zip
54135-9202
Phone Number
715-799-5400
Fax Number
715-799-1326
person
Provider Business Mailing Address Details
Address
W3275 Wolf River Dr
City
Keshena
State
Wisconsin
Zip
54135-9202
Phone Number
715-799-5400
Fax Number
715-799-1326
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16529-131 (Wisconsin)
Definition
Definition to come...
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