Individual
DIANA REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
2300 CHESTER BLVD, RICHMOND, IN 47374-1221
(765) 288-1928
(765) 939-2425
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001468A
IN
1041C0700X
Clinical Social Worker
Primary
34007095A
IN
Other
Enumeration date
01/26/2012
Last updated
11/19/2015
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