Diana Gale Ham, LPC

NPI #1770093718 in Mansfield, Texas

Provider Information

NPI Number
1770093718
Entity Type
Individual
Name
Diana Gale Ham, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Oct 4, 2017
Last Updated
Oct 11, 2017

Practice Location

Address
1800 E BROAD ST
Address 2
ANNEX C
State
Texas
ZIP Code
76063-3411
Phone
(817) 812-2880

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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