Individual
DIANE LISA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. , LPCC
Contact information
Practice address
450 JEFFERSON BLVD STE 4, BIG LAKE, MN 55309-1902
(763) 631-6325
Mailing address
29607 139TH ST NW, PRINCETON, MN 55371-3688
(763) 203-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC00690
MN
101YM0800X
Mental Health Counselor
CC00690
MN
101YP2500X
Professional Counselor
Primary
CC00690
MN
Other
Enumeration date
09/30/2013
Last updated
10/03/2022
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