Individual
MS. AUDREY M DIEFFENBAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
87 15TH ST, WHEELING, WV 26003-3548
(304) 233-9627
Mailing address
91 CARMEL RD FL 2, WHEELING, WV 26003-5943
(513) 706-3931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0004177
OH
101YP2500X
Professional Counselor
Primary
2569
WV
101YP2500X
Professional Counselor
E0004177
OH
Other
Enumeration date
07/14/2006
Last updated
04/15/2024
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