Individual provider · Type 1 NPI

Diane Ivan

Mental Health Counselor · Moraine, OH

NPI number 1437403524 Active

Practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Fax (937) 534-1350

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE1287 (OH)
Social Worker 104100000XS13067 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1437403524

Diane Ivan's National Provider Identifier is 1437403524, issued on Oct 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moraine, OH. The record was last updated on Oct 29, 2012.