Individual provider · Type 1 NPI

Jamie Diestelhorst

Professional Counselor · Wausau, WI

NPI number 1245704188 Active

Practice location

631 Forest St
Wausau, WI 54403-5524

Other practice locations

  • 1509 N 4th St Ste 2, Tomahawk, WI 54487-2108 · (800) 236-3792

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4252-226 (WI)
Professional Counselor Primary 101YP2500X4252-226 (WI)

Professional Counselor: Definition to come...

20 other providers at this address

Other professional counselor providers in Wausau

See all in Wausau →

About NPI 1245704188

Jamie Diestelhorst's National Provider Identifier is 1245704188, issued on Jan 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wausau, WI. The record was last updated on Jan 14, 2019.