Individual
DIANE EALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
894 E MAIN ST, HEADLAND, AL 36345-1854
(334) 794-2113
(334) 785-2522
Mailing address
894 E MAIN ST, HEADLAND, AL 36345-1854
(334) 794-2113
(334) 785-2522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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