person
Mrs. Diane M Smith, LPC,NBCC,CADC
Mental Health Counselor in Minocqua, Wisconsin
NPI 1730393794

Diane M Smith is a Mental Health Counselor based in Minocqua, WI and is specialized in Mental Health. Diane M Smith practices in Minocqua, WI and has the professional credentials of LPC,NBCC,CADC. The NPI Number for Diane M Smith is 1730393794 and holds a License No. 2746 (Wisconsin).

The current practice location address for Diane M Smith is 7848 Hixon Rd, Minocqua, WI and can be reached out via phone at 920-539-1160.

Location: 7848 Hixon Rd, Minocqua, WI, 54548-9112
person
Provider Profile Details
NPI Number
1730393794
Provider Name
Diane M Smith
Credential
LPC,NBCC,CADC
Provider Entity Type
Individual
Gender
Female
Address
7848 Hixon Rd, Minocqua, WI, 54548-9112
Phone Number
920-539-1160
Fax Number
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2746 01 WI LPC
institution
Provider Business Practice Location Address Details
Address
7848 Hixon Rd
City
State
Zip
54548-9112
Phone Number
920-539-1160
Fax Number
person
Provider Business Mailing Address Details
Address
7848 Hixon Rd
City
State
Zip
54548-9112
Phone Number
920-539-1160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2746 (Wisconsin)
Definition
Definition to come...
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