Individual
DIANNA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 UNION AVE NE APT 13, RENTON, WA 98059-3965
(425) 689-6993
Mailing address
1555 UNION AVE NE APT 13, RENTON, WA 98059-3965
(425) 689-6993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61338167
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
03/23/2026
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