Individual
DIANA M KROEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACD III
Contact information
Practice address
1122 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2776
(608) 935-3174
Mailing address
1122 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2776
(608) 935-3174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39371800
—
WI
01
—
88351
MEDICARE
WI
Enumeration date
07/19/2006
Last updated
07/07/2008
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