Individual
DIANE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3235 N 3RD ST, HARRISBURG, PA 17110-1308
(717) 234-3839
(717) 234-6247
Mailing address
2622 MOUNT PLEASANT RD, MOUNT JOY, PA 17552-8740
(717) 492-9796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000788
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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