Individual
DIANE LOUISE LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSMFT
Contact information
Practice address
219 ROSS AVE, SUITE 101, SCHOFIELD, WI 54476-6109
(715) 355-4999
(715) 355-5999
Mailing address
219 ROSS AVE, SUITE 101, SCHOFIELD, WI 54476-6109
(715) 355-4999
(715) 355-5999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3135-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40916900
—
WI
Enumeration date
01/16/2006
Last updated
04/08/2014
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