Individual
CANDICE NICOLE DIENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
6510 GRAND TETON PLZ STE 402, MADISON, WI 53719-1029
(855) 458-4966
(608) 841-1200
Mailing address
6510 GRAND TETON PLZ STE 402, MADISON, WI 53719-1029
(855) 458-4966
(608) 841-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15826-131
WI
1041C0700X
Clinical Social Worker
Primary
9228-123
WI
Other
Enumeration date
03/04/2014
Last updated
10/30/2020
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