Individual
DIANNE ANCONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC 12456
Contact information
Practice address
5701 LONETREE BLVD STE 221F, ROCKLIN, CA 95765-3796
(916) 316-6565
Mailing address
5701 LONETREE BLVD STE 221F, ROCKLIN, CA 95765-3796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12456
CA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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