Doctor Name: | MS. DIANA LYN JAMES |
NPI Number: | 1174703201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCPC, LMFT |
License Number: | MF1981 AND CC2148 |
Business Practice Address: | 428 Rte 1 Edgecomb, ME - 04455 |
Business Phone Number: | 2078826700 |
Business Fax Number: | |
Mailing Address: | 3 Cove Point Rd, SOUTHPORT |
State: | ME |
Postal Code: | 045763051 |
Phone Number: | 2076332267 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MF1981 AND CC2148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |