Healthcare Provider Details

I. General information

NPI: 1336208107
Provider Name (Legal Business Name): DIANE FRANZEN MFT, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 ROBERTA LN
SPARKS NV
89431
US

IV. Provider business mailing address

418 CHENEY ST
RENO NV
89502-0912
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-1616
  • Fax:
Mailing address:
  • Phone: 775-525-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number00454-LC
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number932
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: