Diana Muncy Lmft | |
1005 Ream Ave Mount Shasta CA 96067 | |
(530) 941-2259 | |
Not Available |
Full Name | Diana Muncy Lmft |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1005 Ream Ave, Mount Shasta, California |
Authorized Official Name and Position | Diana Betz Muncy (FOUNDER/THERAPIST) |
Authorized Official Contact | 5309183491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diana Muncy Lmft 1005 Ream Ave Mount Shasta CA 96067 Ph: (530) 941-2259 | Diana Muncy Lmft 1005 Ream Ave Mount Shasta CA 96067 Ph: (530) 941-2259 |
NPI Number | 1356971626 |
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Provider Enumeration Date | 01/24/2020 |
Last Update Date | 08/11/2020 |
Certification Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356971626 | NPI | - | NPPES |
12788970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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