MEDICARE: DIANE T LITTEL MS, LPC, CSAC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1201	MT
2	101YP2500X	Professional Counselor	5478-125	WI
3	101YM0800X	Mental Health Counselor	5478-125	WI
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	15298-132	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346467669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE T LITTEL MS, LPC, CSAC

Provider Business Mailing Address
First Line	:	1504 GLENN PL APT B
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54703-4873
Country	:	US
Telephone Number	:	906-281-6007
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 S DEWEY ST STE 206
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-3781
Country	:	US
Telephone Number	:	906-281-6007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	06/09/2026

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