person
Diane Gale Bliven, MED
Professional Counselor in Tomball, Texas
NPI 1013011279

Diane Gale Bliven is a Professional Counselor based in Magnolia, TX and is specialized in Professional. Diane Gale Bliven practices in Tomball, TX and has the professional credentials of MED. The NPI Number for Diane Gale Bliven is 1013011279 and holds a License No. 18437 (Texas).

The current practice location address for Diane Gale Bliven is 500 Mason St, Tomball, TX and can be reached out via phone at 281-255-9922 and via fax at 281-255-9064.

Location: 500 Mason St, Tomball, TX, 77355-3826
person
Provider Profile Details
NPI Number
1013011279
Provider Name
Diane Gale Bliven
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
500 Mason St, Tomball, TX, 77355-3826
Phone Number
281-255-9922
Fax Number
281-255-9064
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168231201 05 TX
institution
Provider Business Practice Location Address Details
Address
500 Mason St
City
State
Zip
77375-4450
Phone Number
281-255-9922
Fax Number
281-255-9064
person
Provider Business Mailing Address Details
Address
500 Mason St
City
State
Zip
77375-4450
Phone Number
281-255-9922
Fax Number
281-255-9064
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
18437 (Texas)
Definition
Definition to come...
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