Doctor Name: | DIANNA LEE GILMORE |
NPI Number: | 1134398555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN,CAC III |
License Number: | 3466 |
Business Practice Address: | 14201 E 4th Ave Suite 130 Aurora, CO - 800118748 |
Business Phone Number: | 3033260900 |
Business Fax Number: | 3033260006 |
Mailing Address: | 14201 E 4th Ave, Suite 130 AURORA |
State: | CO |
Postal Code: | 800118748 |
Phone Number: | 3033260900 |
Fax Number: | 3033260006 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |