person
Ms. Diane Spade, MA,LPC
Mental Health Counselor in Menominee, Michigan
NPI 1073648143

Diane Spade is a Mental Health Counselor based in Menominee, MI and is specialized in Mental Health. Diane Spade practices in Menominee, MI and has the professional credentials of MA,LPC. The NPI Number for Diane Spade is 1073648143 and holds a License No. 6401010032 (Michigan).

The current practice location address for Diane Spade is 908 2Nd St, Menominee, MI and can be reached out via phone at 906-864-9830 and via fax at 906-864-9831. You can also correspond with Diane Spade through the mailing address at 908 2ND ST, MENOMINEE, MI - 49858-3245 (mailing address contact number: 906-864-9830).

Location: 908 2Nd St, Menominee, MI, 49858-3245
person
Provider Profile Details
NPI Number
1073648143
Provider Name
Diane Spade
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
908 2Nd St, Menominee, MI, 49858-3245
Phone Number
906-864-9830
Fax Number
906-864-9831
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
730195 05 MI
institution
Provider Business Practice Location Address Details
Address
908 2Nd St
City
State
Zip
49858-3245
Phone Number
906-864-9830
Fax Number
906-864-9831
person
Provider Business Mailing Address Details
Address
908 2Nd St
City
State
Zip
49858-3245
Phone Number
906-864-9830
Fax Number
906-864-9831
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401010032 (Michigan)
Definition
Definition to come...
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