Individual
MS. DIANNA VANSANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2187 N VICKEY ST STE A, FLAGSTAFF, AZ 86004-6121
(928) 714-6432
(928) 527-0028
Mailing address
2187 N VICKEY ST STE A, FLAGSTAFF, AZ 86004-6121
(928) 714-6432
(928) 527-0028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16423
AZ
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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