Individual
DIANE DETWILER-ZAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 W APACHE ST, WICKENBURG, AZ 85390-1213
(623) 910-6246
Mailing address
PO BOX 1508, WICKENBURG, AZ 85358-1508
(623) 910-6246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837031
—
AZ
01
—
AZ0618640
AZ. BCBS
AZ
Enumeration date
11/06/2006
Last updated
07/09/2007
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