Individual
JESSICA DIELENTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 N 6TH ST, SHEBOYGAN, WI 53081
(920) 457-8866
(920) 457-8867
Mailing address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8866
(920) 457-8867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7013
WI
Other
Enumeration date
06/24/2016
Last updated
08/09/2018
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