Search › Illinois › 1041C0700X
Christina Diesen, LCSW
NPI 1326161969 · on the registry since 2007 · sole proprietor
Practice
- Address
- 231 N Main St
Breese, IL 62230 - Phone
- (618) 322-6424
- Fax
- (618) 227-8227
Additional practice sites
- 3600 S Water Tower Pl, Mount Vernon, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois