Individual
MS. DIANA GEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PIP
Contact information
Practice address
704 S MAIN ST, FAIRMOUNT, IN 46928-1934
(205) 657-7500
Mailing address
704 S MAIN ST, FAIRMOUNT, IN 46928-1934
(205) 657-7500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2594
AL
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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