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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE M WAKELEY, PCC-S, LICDC

Active Sole Proprietor

DIANE M WAKELEY, PCC-S, LICDC is a Mental Health Counselor healthcare provider located in MENTOR, Ohio. NPI 1134255276 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MENTOR, OH

Registration Details

NPI Number
1134255276
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2007 (19.320514359873 yrs)
Last Updated
Aug 17, 2009
Licenses
933513 (OH)
E-1976 (OH)
Sole Proprietor
Yes

Practice Information

Address
8351 MENTOR AVE
MENTOR, OH, 440605749
Browse OH providers · Browse ZIP 44060
Phone
2168392273
Fax
2168960735
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in MENTOR, OH

Name Credential NPI
MS. CAROLYN JEAN WELKER L.P.C.C.-S 1538131925
MR. ROBERT B CLAPP PCC 1164514824
MR. GARY MARK ECHT LPCC LICDC 1275684581
MR. SHELDON PHILIP HESS PC 1306975099
MS. AMBER JEAN THOMAS PCC 1881725174
MS. LORETTA M. GEORGE M.ED., P.C.C. 1013123199
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.