Individual
DIANA NAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCDP, RCS
Contact information
Practice address
400 BALD HILL RD, WARWICK, RI 02886-1617
(401) 732-1500
Mailing address
200 HEROUX BLVD UNIT 202, CUMBERLAND, RI 02864-3628
(401) 658-4369
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00376
RI
Other
Enumeration date
03/02/2007
Last updated
01/08/2019
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