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DIANE L REID

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295868925

Individual Registrant:
 DIANE L REID 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3717 MT PINOS WAY STE C D FRAZIEK PARK, CA 93225 US
Tel: 661-245-0250  Fax: 661-245-0252

Contact information for business:
PO BOX 1559  BAKERSFIELD, CA 93302-1559 US
Tel: 661-635-3050  Fax: 661-869-1503

Registration Information:
NPI: 1295868925
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC32290

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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