Individual
DIANA POGORILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1930 WISCONSIN AVE, GRAFTON, WI 53024-2632
(262) 377-3712
(262) 376-9416
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3113-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43573100
—
WI
Enumeration date
08/03/2006
Last updated
07/08/2007
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