Individual provider · Type 1 NPI

Grady Emily Dedrick, LPC, SAC-IT, CCAT

Professional Counselor · New Lisbon, WI

NPI number 1124686241 Active

Practice location

304 Bickford St
New Lisbon, WI 53950-1533

Fax (608) 562-3975

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X8436-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1124686241

Grady Emily Dedrick, LPC, SAC-IT, CCAT's National Provider Identifier is 1124686241, issued on Jun 4, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Lisbon, WI. The record was last updated on Sep 14, 2022.