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Individual
MRS. DIANE ELLEN KIZZIAR
Active
Individual
MRS. DIANE ELLEN KIZZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
84358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15625
LCDC LICENSE
TX
01
—
84358
STATE LICENSE
TX
Enumeration date
02/09/2021
Last updated
05/03/2022
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