Individual
MS. DIANA T MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
5980 WEBB ST, LOOMIS, CA 95650-7625
(916) 652-0171
Mailing address
PO BOX 1403, LOOMIS, CA 95650-1403
(916) 652-0171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347006067
DEPT OF SOCIAL SERVICES
CA
Enumeration date
05/13/2020
Last updated
05/13/2020
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