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Individual

DIANA G. WASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2222
(208) 453-4255
Mailing address
1762 N TODD WAY, MERIDIAN, ID 83646-1205
(208) 949-1374
(208) 392-1259

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6023
ID
101YM0800X
Mental Health Counselor
Primary
LPC-4058
ID

Other

Enumeration date
09/03/2008
Last updated
02/26/2026
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