| Doctor Name: | DIANA M KROEBER |
| NPI Number: | 1396764478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CACD III |
| License Number: | 2072 |
| Business Practice Address: | 1122 Professional Dr Dodgeville, WI - 535331176 |
| Business Phone Number: | 6089352776 |
| Business Fax Number: | 6089353174 |
| Mailing Address: | 1122 Professional Dr, DODGEVILLE |
| State: | WI |
| Postal Code: | 535331176 |
| Phone Number: | 6089352776 |
| Fax Number: | 6089353174 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |