Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE ELAINE DEITRICH, MS
Active Sole ProprietorKELLIE ELAINE DEITRICH, MS is a Counselor healthcare provider located in REEDSBURG, Wisconsin. NPI 1376295683 is currently active in the NPPES registry. Verify at CMS.
Counselor · REEDSBURG, WI
Registration Details
- NPI Number
- 1376295683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2022 (4.5934141942066 yrs)
- Last Updated
- Jan 19, 2022
- License
-
5124-226 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2155 E MAIN STREEDSBURG, WI, 539599440Browse WI providers · Browse ZIP 53959
- Phone
- 6084159956
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in REEDSBURG, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. COLLEEN MARIE CRONIN | CRC | 1659693315 |
| VICTORIA LYNN BRAUN | — | 1033878186 |
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.