Provider Demographics
NPI:1003832601
Name:DEARDEN, DIANNA LYNN (LPC LMFT CNN RN)
Entity Type:Individual
Prefix:MRS
First Name:DIANNA
Middle Name:LYNN
Last Name:DEARDEN
Suffix:
Gender:F
Credentials:LPC LMFT CNN RN
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Mailing Address - Street 1:840 W BAYOU PINES DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-7077
Mailing Address - Country:US
Mailing Address - Phone:337-310-0153
Mailing Address - Fax:337-310-0202
Practice Address - Street 1:840 W BAYOU PINES DR
Practice Address - Street 2:SUITE B
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7077
Practice Address - Country:US
Practice Address - Phone:337-310-0153
Practice Address - Fax:337-310-0202
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA2558101YP2500X
LA661106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist