Ham, Diana Gale

Ham, Diana Gale is an individual health care provider with primary practice located at 1800 E Broad St Annex C, Mansfield TX 76063-3411. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ham, Diana Gale can be contacted via phone (817) 812-2880.

Contact Information

Primary practice address
1800 E Broad St Annex C Mansfield TX 76063-3411
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 60397 Texas

Profile Details

NPI number 1770093718
LBN Legal business name Ham, Diana Gale
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Oct 11th, 2017 - about 9 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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