Kellie Elaine Deitrich, MS

NPI #1376295683 in Reedsburg, Wisconsin

Provider Information

NPI Number: 1376295683
Entity Type: Individual
Name: Kellie Elaine Deitrich, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MS
Enumeration Date: Jan 19, 2022
Last Updated: Jan 19, 2022

Practice Location

Address: 2155 E MAIN ST
City: Reedsburg
State: Wisconsin
ZIP Code: 53959-9440
Phone: (608) 415-9956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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