Doctor Name: | MS. DIANE BARBARA XIQUES |
NPI Number: | 1932286309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LCMHC |
License Number: | 384 |
Business Practice Address: | 5 Lemnah Drive Nusi Diane Xiques St Albans, VT - 05478 |
Business Phone Number: | 8028608402 |
Business Fax Number: | 8025247989 |
Mailing Address: | 17 Village Dr, MILTON |
State: | VT |
Postal Code: | 05468 |
Phone Number: | 8028608402 |
Fax Number: | 8025247989 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |