Individual
MS. DIANNA RUTH COOPER-BOLINSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
609 E SURGERY CENTER DR, TERRE HAUTE, IN 47802-6815
(812) 917-5091
Mailing address
INDIANA STATE UNIVERSITY, 749 CHESTNUT STREET, NURSING BLDG. #422, TERRE HAUTE, IN 47809-0001
(812) 237-2322
(812) 237-8114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000197A
IN
1041C0700X
Clinical Social Worker
Primary
34005099A
IN
Other
Enumeration date
11/28/2007
Last updated
05/20/2019
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