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NPI Code Detail

MEDICARE: KRISTINA DIMOND

MEDICARE: KRISTINA DIMOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor8597-226WI

General Provider Information

NPI Number : 1245175900
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA DIMOND
Provider Business Mailing Address
First Line : 817 WHITING AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-5246
Country : US
Telephone Number : 715-498-9067
Fax Number :
Provider Business Practice Location Address
First Line : 817 WHITING AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-5246
Country : US
Telephone Number : 715-498-9067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ KRISTINA DIMOND ” Practice Location

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