| Diane Ivan, | |
|
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
| (937) 293-8300 | |
| (937) 534-1350 |
| Full Name | Diane Ivan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3095 Kettering Blvd, Moraine, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437403524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E1287 (Ohio) | Primary |
| 104100000X | Social Worker | S13067 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Ivan, 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 | Diane Ivan, 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 |
Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710 | |
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902 | |
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347 | |
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063 | |
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347 |