Individual
MS. DIANA KAY CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC, LPC
Contact information
Practice address
1051 E PHELPS ST, GILBERT, AZ 85295-1715
(208) 870-8916
Mailing address
1051 E PHELPS ST, GILBERT, AZ 85295-1715
(208) 870-8916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCPC-4864
ID
101YP2500X
Professional Counselor
Primary
LPC-5571T
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893728
—
AZ
Enumeration date
05/09/2009
Last updated
03/25/2015
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