Individual
REBECCA DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 731-1378
Mailing address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 731-1378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2557-226
WI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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