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Individual

DR. DIANE S PLEASANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LCPC, CADC

Contact information

Practice address
335 E WOOD ST STE B, DECATUR, IL 62523
(217) 422-6908
(217) 422-7103
Mailing address
335 E WOOD ST STE B, DECATUR, IL 62523-1431
(217) 422-6908
(217) 422-7103

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180-005694
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
22217
IL
101YM0800X
Mental Health Counselor
180-005694
IL
101YP2500X
Professional Counselor
Primary
180-005694
IL
103T00000X
Psychologist
180-005694
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
180-005694
IL
103TB0200X
Cognitive & Behavioral Psychologist
180-005694
IL
103TC1900X
Counseling Psychologist
180-005694
IL
103TF0000X
Family Psychologist
180-005694
IL
171M00000X
Case Manager/Care Coordinator
180-005694
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202415440001
IL
Enumeration date
10/12/2006
Last updated
06/28/2018
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