Provider Demographics
NPI:1780846600
Name:THOMPSON, DIANE C (LMHC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:C
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:DIANE THOMPSON
Other - Middle Name:
Other - Last Name:COUNSELING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6604 W THOMAS LN
Mailing Address - Street 2:
Mailing Address - City:NINE MILE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99026-9553
Mailing Address - Country:US
Mailing Address - Phone:509-939-4114
Mailing Address - Fax:
Practice Address - Street 1:6176 B HWY 291
Practice Address - Street 2:
Practice Address - City:NINE MILE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99026-9572
Practice Address - Country:US
Practice Address - Phone:509-939-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WALH60216297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health