Individual provider · Type 1 NPI

Kellie Elaine Deitrich, MS

Counselor · Reedsburg, WI

NPI number 1376295683 Active

Practice location

2155 E Main St
Reedsburg, WI 53959-9440

Mailing address

800 Mary Ave
Reedsburg, WI 53959-1119

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X5124-226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376295683

Kellie Elaine Deitrich, MS's National Provider Identifier is 1376295683, issued on Jan 19, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Reedsburg, WI. The record was last updated on Jan 19, 2022.