Individual
MRS. DIANA MARIE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
727 E ETNA RD, OTTAWA, IL 61350-1040
(815) 434-4727
(815) 434-0271
Mailing address
2960 CHARTRES ST, P.O. BOX 1488, LA SALLE, IL 61301-1097
(815) 224-1610
(815) 223-1634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007851
IL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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