Individual provider · Type 1 NPI

Diane Marie Hietpas, MA, SAC

Addiction (Substance Use Disorder) Counselor · Keshena, WI

NPI number 1386367795 Active

Practice location

W3275 Wolf River Dr
Keshena, WI 54135-9202

Call (715) 799-5400 Map

Fax (715) 799-1326

Mailing address

PO Box 970
Keshena, WI 54135-0970

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16529-131 (WI)

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

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About NPI 1386367795

Diane Marie Hietpas, MA, SAC's National Provider Identifier is 1386367795, issued on Sep 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keshena, WI. The record was last updated on Sep 21, 2022.