Doctor Name: | MR. LEIF ROBERT DIAMANT |
NPI Number: | 1437318979 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 2643 |
Business Practice Address: | 183 Box Turtle Rd Pittsboro, NC - 273125307 |
Business Phone Number: | 9195425420 |
Business Fax Number: | 9195424257 |
Mailing Address: | 183 Box Turtle Rd, PITTSBORO |
State: | NC |
Postal Code: | 273125307 |
Phone Number: | 9195425420 |
Fax Number: | 9195424257 |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |