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Individual

JOAN DIAMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCPC

Contact information

Practice address
31733 S FORK YAAK RD, TROY, MT 59935-8681
(406) 295-5401
(406) 295-5420
Mailing address
PO BOX 5593, WHITEFISH, MT 59937-5593
(406) 295-5400
(406) 295-5420

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2308
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2308
STATE
MT
Enumeration date
08/06/2012
Last updated
08/06/2012
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