Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Jean Diels, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265065957

Kellie Jean Diels, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

459 E 1st St
Fond Du Lac, WI 54935-4505
Phone: (920) 920-3568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19064-130 (WI)

Record details

NPI number1265065957
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

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