Provider Demographics
NPI:1972886315
Name:CARNAGEY, DIANNA KAY (LPC CANDIDATE)
Entity Type:Individual
Prefix:MS
First Name:DIANNA
Middle Name:KAY
Last Name:CARNAGEY
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74362-0912
Mailing Address - Country:US
Mailing Address - Phone:918-825-4115
Mailing Address - Fax:918-825-6612
Practice Address - Street 1:212 SE 1ST
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361
Practice Address - Country:US
Practice Address - Phone:918-825-4115
Practice Address - Fax:918-825-6612
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health