Fine, Dianna

Fine, Dianna is an sole proprietor health care provider with primary practice located at 933 Gardenview Office Pkwy , Creve Coeur MO 63141-5917. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fine, Dianna can be contacted via phone (314) 607-6448.

Contact Information

Primary practice address
933 Gardenview Office Pkwy Creve Coeur MO 63141-5917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002265 Missouri

Profile Details

NPI number 1487712899
LBN Legal business name Fine, Dianna
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Nov 20th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487712899 NPPES
Missouri MEDICAID 498662816

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