Individual
DIANA BLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 F ST, ANCHORAGE, AK 99501-3533
(907) 339-4222
Mailing address
609 F ST, ANCHORAGE, AK 99501-3533
(907) 339-4222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM8744
—
AK
Enumeration date
09/21/2007
Last updated
10/04/2011
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