Individual
MRS. DIANA REBECCA LASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES, CPH, NCPT, CA
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, NMCP, OUTPATIENT BEHAVIORAL HEALTH CLINIC, PORTSMOUTH, VA 23708
(757) 953-5000
Mailing address
6 CHARTOM COURT, PORTSMOUTH, VA 23702
(228) 213-4218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
31001
AL
Other
Enumeration date
08/04/2021
Last updated
11/07/2024
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