Davis, Diane Kaye

Davis, Diane Kaye is an individual health care provider with primary practice located at 608 Mulberry St , Murphysboro IL 62966-2666. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Davis, Diane Kaye can be contacted via phone (618) 687-5353.

Contact Information

Primary practice address
608 Mulberry St Murphysboro IL 62966-2666
Phone: (618) 687-5353
Fax: (618) 687-5077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1073673109
LBN Legal business name Davis, Diane Kaye
Credentials MSED, NCC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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