person
Dianna Leigh Bruss, LPC
Professional Counselor in Green Bay, Wisconsin
NPI 1871642744

Dianna Leigh Bruss is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Dianna Leigh Bruss practices in Green Bay, WI and has the professional credentials of LPC. The NPI Number for Dianna Leigh Bruss is 1871642744 and holds a License No. 4111-125 (Wisconsin).

The current practice location address for Dianna Leigh Bruss is 2300 Riverside Dr Ste 124, Green Bay, WI and can be reached out via phone at 920-309-6861.

Location: 2300 Riverside Dr Ste 124, Green Bay, WI, 54301-1900
person
Provider Profile Details
NPI Number
1871642744
Provider Name
Dianna Leigh Bruss
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2300 Riverside Dr Ste 124, Green Bay, WI, 54301-1900
Phone Number
920-309-6861
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1871642744 05 WI
100001117 05 WI
institution
Provider Business Practice Location Address Details
Address
2300 Riverside Dr Ste 124
City
State
Zip
54301-1900
Phone Number
920-309-6861
Fax Number
person
Provider Business Mailing Address Details
Address
2300 Riverside Dr Ste 124
City
State
Zip
54301-1900
Phone Number
920-309-6861
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4111-125 (Wisconsin)
Definition
Definition to come...
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