Individual
DIANA DEVRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N5813 1110TH ST, PRESCOTT, WI 54021-7727
(715) 441-0072
Mailing address
N5813 1110TH ST, PRESCOTT, WI 54021-7727
(715) 441-0072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10468
OK
101YP2500X
Professional Counselor
Primary
10510
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
08/28/2020
Last updated
11/29/2023
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