Individual
DIANE CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
(219) 548-8727
(219) 465-7211
Mailing address
607 LINCOLNWAY, VALPARAISO, IN 46383-5727
(219) 548-8727
(219) 465-7211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200275200A
—
IN
Enumeration date
07/14/2011
Last updated
07/14/2011
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