Individual provider · Type 1 NPI

Jennifer A. Dietrich, SAC-IT

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1326286147 Active

Practice location

2422 N Grandview Blvd
Waukesha, WI 53188-6105

Fax (262) 549-6698

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13183-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1326286147

Jennifer A. Dietrich, SAC-IT's National Provider Identifier is 1326286147, issued on Feb 2, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Feb 2, 2009.