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Individual

DIANA RUMAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC, LPCC

Contact information

Practice address
1925 FREDERICA ST STE 200, OWENSBORO, KY 42301
(270) 926-2484
(270) 685-6015
Mailing address
PO BOX 1429, 300 HOPE STREET, MT WASHINGTON, KY 40047-1429
(800) 456-1386
(502) 538-1100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
242652
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100556250
KY
Enumeration date
10/29/2015
Last updated
02/28/2020
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