Individual
MRS. DIANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
413 HISTORIC 66 W, WAYNESVILLE, MO 65583-2114
(417) 260-5228
(866) 206-7178
Mailing address
16946 TIFFANY DR, HOUSTON, MO 65483-2521
(417) 260-5228
(866) 206-7178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005038586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497523209
—
MO
Enumeration date
01/30/2007
Last updated
07/18/2012
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