Individual
MRS. DIANE JOYCE BOCKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5260
(971) 983-5326
Mailing address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2830
OR
101YP2500X
Professional Counselor
C2830
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758369
—
OR
Enumeration date
06/14/2007
Last updated
12/26/2019
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