Doctor Name: | MS. DIANA MARIE VASHRO |
NPI Number: | 1518093004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC, LCPC |
License Number: | 491 |
Business Practice Address: | 1101 Maryland Ave Deer Lodge, MT - 597221806 |
Business Phone Number: | 4068461167 |
Business Fax Number: | |
Mailing Address: | Po Box 103, DEER LODGE |
State: | MT |
Postal Code: | 597220103 |
Phone Number: | 4068461167 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 491 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |