| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JILL DIESER | 1831705318 | 2022-09-21 |
Jill Dieser is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831705318. Registration indicates Jill Dieser is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Jill Dieser LCSW |
| Practice Office Address | 1507 1ST AVE W STE E KALISPELL, MT US |
| Practice Office Telephone | 4062531807 |
| Mailing Address | PO BOX 3206 KALISPELL, MT 599033206 US |
| Business Telephone | 4062531807 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 410 10th Ave W | Kalispell, MT 599014724 | 4062619127 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 42769
MT |