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Individual
MS. DIANE LAVELY
Active
Individual
MS. DIANE LAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW BCD MSWAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MSWACB5417
—
1041C0700X
Clinical Social Worker
BCD27321
—
1041C0700X
Clinical Social Worker
LCS15773
CA
1041C0700X
Clinical Social Worker
LCSW1220
OR
Other
Enumeration date
09/01/2006
Last updated
09/11/2025
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