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Individual
MRS. DIANA ANDREA MESA-HORAITIS
Active
Individual
MRS. DIANA ANDREA MESA-HORAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
415124
WI
104100000X
Social Worker
415-124
WI
106H00000X
Marriage & Family Therapist
Primary
415124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39615400
—
WI
Enumeration date
06/07/2006
Last updated
07/01/2020
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