White, Diane
White, Diane is an sole proprietor health care provider with primary practice located at 413 Historic 66 W , Waynesville MO 65583-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. White, Diane can be contacted via phone (417) 260-5228.Contact Information
Primary practice address
413 Historic 66 W
Waynesville MO 65583-2114
Phone: (417) 260-5228
Fax: (866) 206-7178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2005038586 | Missouri |
Profile Details
| NPI number | 1700923885 |
|---|---|
| LBN Legal business name | White, Diane |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 18th, 2012 - about 13 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 | 1700923885 | NPPES |
| Missouri | MEDICAID | 497523209 |
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