Provider Demographics
NPI:1265651004
Name:WILHOITE, DIANE HELEN (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:HELEN
Last Name:WILHOITE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 DARA DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-8458
Mailing Address - Country:US
Mailing Address - Phone:505-771-8901
Mailing Address - Fax:
Practice Address - Street 1:1043 HIGHWAY 313
Practice Address - Street 2:
Practice Address - City:BERNALILLO
Practice Address - State:NM
Practice Address - Zip Code:87004-6912
Practice Address - Country:US
Practice Address - Phone:505-771-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health