| Diana Muncy Lmft | |
|
1005 Ream Ave Mount Shasta CA 96067 | |
| (530) 941-2259 | |
| Not Available |
| Full Name | Diana Muncy Lmft |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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