Individual
DIANNA HERZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 OKLAHOMA AVE, TRENTON, MO 64683-2565
(660) 359-4600
Mailing address
118 N 2ND ST STE 200, SAINT CHARLES, MO 63301-2894
(636) 224-1210
(636) 946-0991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019014612
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019014612
PLPC LICENSE
MO
Enumeration date
02/07/2020
Last updated
07/01/2024
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