Individual
MS. DIANE TERESA VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24410 GLENTHORPE CT, KATY, TX 77494-4523
(713) 854-6115
Mailing address
24410 GLENTHORPE CT, KATY, TX 77494-4523
(713) 854-6115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151734401
—
TX
Enumeration date
11/10/2006
Last updated
04/06/2016
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