Individual
DIANE Y DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCSW
Contact information
Practice address
5541 HWY 10 EAST, SUITE B, STEVENS POINT, WI 54481
(715) 345-9690
(745) 345-2938
Mailing address
5627 REGENT ST, STEVENS POINT, WI 54481-9171
(715) 345-9690
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1464-125
WI
1041C0700X
Clinical Social Worker
2121-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39616500
—
WI
Enumeration date
05/11/2007
Last updated
09/11/2025
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