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NPI Code Detail

MEDICARE: MS. DIANA ELIZABETH LINGREN MA LMHP LPC RPTS

MEDICARE:  MS. DIANA ELIZABETH LINGREN  MA LMHP LPC RPTS
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
1101YP2500XProfessional Counselor1650WY
2101YM0800XMental Health Counselor189NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184067OTHERNEBCBS

General Provider Information

NPI Number : 1922147057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANA ELIZABETH LINGREN MA LMHP LPC RPTS
Provider Business Mailing Address
First Line : 1430 WILKINS CIR
Second Line :
City : CASPER
State : WY
Zip : 82601-1336
Country : US
Telephone Number : 307-237-9583
Fax Number :
Provider Business Practice Location Address
First Line : 1430 WILKINS CIR
Second Line :
City : CASPER
State : WY
Zip : 82601-1336
Country : US
Telephone Number : 307-237-9583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 06/16/2017

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Directions to “ MS. DIANA ELIZABETH LINGREN MA LMHP LPC RPTS” Practice Location

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