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Individual
DIANNA CARVER
Active
Individual
DIANNA CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC, CADAC, ICADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0133741
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
1054
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
703124
NM
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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