Doctor Name: | MRS. ELIZABETH H. DIAL |
NPI Number: | 1073668497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, NCC |
License Number: | LPC004351 |
Business Practice Address: | 101 Court St Calhoun, GA - 307012233 |
Business Phone Number: | 7063836346 |
Business Fax Number: | 7066240405 |
Mailing Address: | 101 Court St, CALHOUN |
State: | GA |
Postal Code: | 307012233 |
Phone Number: | 7063836346 |
Fax Number: | 7066240405 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 05/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC004351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |