Provider Demographics
NPI:1295123784
Name:FOLEY, DIANA MARIE (SUDP/LMHC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:SUDP/LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SOUTH THOR STREET
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202
Mailing Address - Country:US
Mailing Address - Phone:509-532-2000
Mailing Address - Fax:509-532-2005
Practice Address - Street 1:1403 S GRAND BLVD STE 101S
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2272
Practice Address - Country:US
Practice Address - Phone:509-413-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60155596101YA0400X
WALH60008730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)