Individual
DIANA WEENINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Mailing address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CG60441760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG 60441760
COUNSELOR AGENCY AFFILIATED
WA
Enumeration date
03/28/2016
Last updated
06/08/2023
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