Individual
MRS. JOANNE DIFFENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
101 ROUTE 130 S, CINNAMINSON, NJ 08077-2845
(856) 829-3600
Mailing address
2123 RIVER RD, EGG HARBOR CITY, NJ 08215-4745
(609) 432-3179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00290200
NJ
101YP2500X
Professional Counselor
PC002776
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YP2500X
L.P.C.
NJ
Enumeration date
05/24/2011
Last updated
05/24/2011
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