Individual
MS. DIANA J DEPUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4928 HOMBERG DR, SUIE 4-A, KNOXVILLE, TN 37919-5100
(865) 748-4476
Mailing address
3110 PLEASANT TRACE CIR, KNOXVILLE, TN 37912-6207
(865) 748-4476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC00000086
TN
1041C0700X
Clinical Social Worker
LSW0000003551
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100250
CIGNA
TN
Enumeration date
12/29/2005
Last updated
09/11/2025
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