Individual provider · Type 1 NPI

Suzette Carolyn-Eve Diederich, M.S. ED., L.P.C.

Professional Counselor · Green Bay, WI

NPI number 1609972280 Active

Practice location

123 N Oakland Ave
Green Bay, WI 54303-2831

Call (920) 770-4088 Map

Fax (651) 705-0026

Mailing address

3645 Wildcat Trl Apt 3
New Franken, WI 54229-9207

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3387-125 (WI)
Professional Counselor Primary 101YP2500X3387-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1609972280

Suzette Carolyn-Eve Diederich, M.S. ED., L.P.C.'s National Provider Identifier is 1609972280, issued on Sep 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jun 9, 2022.