MEDICARE: DIAMOND COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1376012096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND COUNSELING, LLC

Provider Business Mailing Address
First Line	:	6 PIDGEON HILL DR STE 250
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-6147
Country	:	US
Telephone Number	:	301-531-0229
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 PIDGEON HILL DR STE 250
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20165-6147
Country	:	US
Telephone Number	:	301-531-0229
Fax Number	:

Authorized Official
Title or Position	:	OWNER CEO
Name	:	SHANNON MCDUFFIE
Credential	:
Telephone Number	:	301-531-0229

Provider Enumeration Date	:	11/26/2018
Last Update Date	:	11/26/2018

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Directions to “DIAMOND COUNSELING, LLC ” Practice Location

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