Individual
MS. DIANE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1010 FERNHILL LN, WHITEHALL, PA 18052-7817
(484) 294-1864
Mailing address
1010 FERNHILL LN, WHITEHALL, PA 18052-7817
(484) 294-1864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SP-08105
PA
171M00000X
Case Manager/Care Coordinator
Primary
SP-08105
PA
Other
Enumeration date
11/17/2020
Last updated
07/25/2022
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