Individual
DIANE LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 3RD ST, MARIETTA, OH 45750-1803
(704) 371-5126
Mailing address
4006 9TH AVE, PARKERSBURG, WV 26101-6514
(304) 771-3523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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