Bocking, Diane Joyce
Bocking, Diane Joyce is an sole proprietor health care provider with primary practice located at 1475 Mount Hood Ave , Woodburn OR 97071-9066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bocking, Diane Joyce can be contacted via phone (971) 983-5260.Contact Information
Primary practice address
1475 Mount Hood Ave
Woodburn OR 97071-9066
Phone: (971) 983-5260
Fax: (971) 983-5326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2830 | Oregon |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C2830 | Oregon |
Profile Details
NPI number | 1851595540 |
---|---|
LBN Legal business name | Bocking, Diane Joyce |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2007 |
Last updated | Dec 26th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851595540 | NPPES |
Oregon | MEDICAID | 500758369 |
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