Individual
DIANE WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
514 MCCONNELL ST, JEFFERSON, NC 28640-9789
(336) 846-4491
(336) 846-4927
Mailing address
PO BOX 381, JEFFERSON, NC 28640-0381
(336) 846-4491
(336) 846-4927
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104109
—
NC
Enumeration date
11/24/2008
Last updated
10/24/2011
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