Individual
DIANE WILSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
30 PLEASANT STREET, CONWAY, NH 03818-1114
(603) 447-2239
(603) 447-2239
Mailing address
PO BOX 1114, 30 PLEASANT ST, CONWAY, NH 03818-1114
(603) 447-2239
(603) 447-2239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009004
—
NH
Enumeration date
09/02/2006
Last updated
12/18/2013
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