Individual
MS. DIANA MARIE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW -706 LCSW
Contact information
Practice address
425 W LOUCKS ST, SHERIDAN, WY 82801-4128
(307) 751-7916
Mailing address
PO BOX 7282, SHERIDAN, WY 82801-7005
(307) 751-7916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCSW 706
WY
101YM0800X
Mental Health Counselor
LCSW 706
WY
1041C0700X
Clinical Social Worker
Primary
LCSW 706
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225003023
—
WY
05
—
1932229523
—
WY
Enumeration date
04/22/2009
Last updated
03/08/2022
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