Wanda Diderich is a Rockford, Illinois based counselor who is specialized as Professional Counselor. Active license number of Wanda Diderich is 178013374 for Professional Counselor in Illinois. Her current practice location is 8616 Northern Ave, Rockford. Patients can book an appointment with her at 815-332-8003.
Wanda Diderich is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Wanda Diderich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Wanda Diderich |
| Specialization: | Professional Counselor |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 8616 Northern Ave, Rockford,
Illinois, 61107-5309 |
| Phone: | 815-332-8003 |
| Fax: | 815-332-6090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1396259081 |
| NPI Enumeration Date: | 17 Nov, 2017 |
| NPI Last Update On: | 17 Nov, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wanda Diderich are as mentioned below.
| License Number | Specialization | State | Status | |
| 178013374 | Professional Counselor | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Wanda Diderich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 17013374 | Other | Illinois | LPC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1021 N Mulford Rd,
Rockford, Illinois |
| Zip: | 61107-3877 |
| Phone Number: | 815-387-5600 |
| Fax Number: | 815-316-4726 |
Patients can reach Wanda Diderich at
8616 Northern Ave, Rockford, Illinois or can
call to book an appointment on 815-332-8003.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.