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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.