Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHRISTINA R DIESEN, LCSW
Active Sole ProprietorClinical Social Worker · BREESE, IL
Registration Details
- NPI Number
- 1326161969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2007 (19.07416348585 yrs)
- Last Updated
- Mar 14, 2019
- License
-
149-010456 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
231 N MAIN STBREESE, IL, 622301522Browse IL providers · Browse ZIP 62230
- Phone
- 6183226424
- Fax
- 6182278227
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BREESE, IL
| Name | Credential | NPI |
|---|---|---|
| FRED CHARLES BOCH | LCSW | 1477618734 |
| RENEE KELLER | LCSW | 1487841714 |
| BETHANY RICCIARDI | LCSW | 1538010012 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.