Individual
DIANE BRUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCC, LCMHC
Contact information
Practice address
314 LABONTE DR, PIEDMONT, SC 29673-7894
(541) 227-3501
Mailing address
314 LABONTE DR, PIEDMONT, SC 29673-7894
(541) 227-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12828
NH
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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