Individual
MS. DIANA LYNNE WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
375 LANE 7 1/2, POWELL, WY 82435-9022
(307) 884-8872
Mailing address
375 LANE 7 1/2, POWELL, WY 82435-9022
(307) 884-8872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
644
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500369-772
DRIVERS LICENSE
WY
Enumeration date
04/24/2019
Last updated
04/24/2019
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