Individual provider · Type 1 NPI

Teresa Diemer, BS, CADC, MHP

Addiction (Substance Use Disorder) Counselor · Pontiac, IL

NPI number 1962724823 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2210 (IL)

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

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About NPI 1962724823

Teresa Diemer, BS, CADC, MHP's National Provider Identifier is 1962724823, issued on Feb 19, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pontiac, IL. The record was last updated on Jun 27, 2024.