Individual
MS. DIANE COUSINO MUSHABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3629 CHURCH ST, COVINGTON, KY 41015-1430
(859) 581-8974
(859) 581-9595
Mailing address
3629 CHURCH ST, COVINGTON, KY 41015-1430
(859) 581-8974
(859) 581-9595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E4224
OH
101YP2500X
Professional Counselor
Primary
KY-930
KY
Other
Enumeration date
05/18/2007
Last updated
03/17/2011
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