| Mrs Christina R Diesen, LCSW | |
|
231 N Main St, Breese, IL 62230-1522 | |
| (618) 322-6424 | |
| (618) 227-8227 |
| Full Name | Mrs Christina R Diesen |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 231 N Main St, Breese, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326161969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-010456 (Illinois) | Primary |
| Entity Name | Anxiety And Stress Relief Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619686417 PECOS PAC ID: 7012350739 Enrollment ID: O20240209002480 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christina R Diesen, LCSW 231 N Main St, Breese, IL 62230-1522 Ph: (618) 322-6424 | Mrs Christina R Diesen, LCSW 231 N Main St, Breese, IL 62230-1522 Ph: (618) 322-6424 |
Fred Charles Boch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9401 Holy Cross Ln, Suite 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Renee Keller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10551 Vonder Haar Ln, Breese, IL 62230 Phone: 618-520-3339 | |
Bethany Ricciardi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 N 9th St, Breese, IL 62230 Phone: 618-570-2090 |