| Doctor Name: | MS. CLARA ANN DIACSUK |
| NPI Number: | 1013176494 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 515 Camson Rd Anderson, SC - 296251407 |
| Business Phone Number: | 8647162316 |
| Business Fax Number: | |
| Mailing Address: | 200 Mcgee Rd, ANDERSON |
| State: | SC |
| Postal Code: | 296252104 |
| Phone Number: | 8642602220 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |