Madison Jo Diener
NPI #1417700204 in Grandview, Washington
Provider Information
- NPI Number
- 1417700204
- Entity Type
- Individual
- Name
- Madison Jo Diener
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 10, 2024
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 61 DAYTON RD
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-9631
- Phone
- (509) 515-6498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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