| 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 | |
Caitlin Sparer, MA Counselor Medicare: May Accept Medicare Assignments Practice Location: 371 Monroe St., Prescott, WI 54021 Phone: 507-993-8545 |