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Individual
DIANE LISA NEAL
Active
Individual
DIANE LISA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. , LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC00690
MN
101YM0800X
Mental Health Counselor
CC00690
MN
101YP2500X
Professional Counselor
Primary
CC00690
MN
Other
Enumeration date
09/30/2013
Last updated
10/03/2022
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