Individual provider · Type 1 NPI

Kelsey Jeanette Diederich, LSW

Mental Health Counselor · Chicago, IL

NPI number 1043862295 Active

Practice location

304 N Loomis St
Chicago, IL 60607-1147

Other practice locations

  • 1414 Main St, Melrose Park, IL 60160-3902 · (708) 681-0073

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043862295

Kelsey Jeanette Diederich, LSW's National Provider Identifier is 1043862295, issued on Jul 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 4, 2022.