Diana Devries, | |
N5813 1110th St, Prescott, WI 54021-7727 | |
(715) 441-0072 | |
Not Available |
Full Name | Diana Devries |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | N5813 1110th St, Prescott, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285247213 | NPI | - | NPPES |
000000000 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 10468 (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 10510 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Diana Devries, N5813 1110th St, Prescott, WI 54021-7727 Ph: (715) 441-0072 | Diana Devries, N5813 1110th St, Prescott, WI 54021-7727 Ph: (715) 441-0072 |
Blake Prochnow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1380 Walnut St, Prescott, WI 54021 Phone: 612-382-3458 | |
Charles Kaltenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: N5531 1245th St, Prescott, WI 54021 Phone: 612-584-9071 |