Individual
DIANE WENDEL HABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1288
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.1600792
OH
1041C0700X
Clinical Social Worker
Primary
L8268
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846595
—
OH
Enumeration date
12/11/2014
Last updated
05/22/2020
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