Individual
MS. DIANE CAROL DIVER
Active
Individual
MS. DIANE CAROL DIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1782
GA
104100000X
Social Worker
MSW005849
GA
1041C0700X
Clinical Social Worker
Primary
CSW005545
GA
Other
Enumeration date
09/30/2012
Last updated
09/24/2025
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