Diane M Wakeley, PCC-S, LICDC

NPI #1134255276 in Mentor, Ohio

Provider Information

NPI Number
1134255276
Entity Type
Individual
Name
Diane M Wakeley, PCC-S, LICDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
PCC-S, LICDC
Enumeration Date
Feb 25, 2007
Last Updated
Aug 17, 2009

Practice Location

Address
8351 MENTOR AVE
City
Mentor
State
Ohio
ZIP Code
44060-5749
Phone
(216) 839-2273

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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