Individual
MS. DIANE B WIESEN-TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
(480) 941-7552
Mailing address
7575 E EARLL DR, SCOTTSDALE, AZ 85251-6915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10106
—
101YP2500X
Professional Counselor
Primary
LPC-2298
AZ
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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