Provider Demographics
NPI:1700357993
Name:CLEANTHOUS-DIEHL, SOPHIA FRANCESCA (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:FRANCESCA
Last Name:CLEANTHOUS-DIEHL
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S UNIVERSITY RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5227
Mailing Address - Country:US
Mailing Address - Phone:509-609-8966
Mailing Address - Fax:866-736-5881
Practice Address - Street 1:303 S UNIVERSITY RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5227
Practice Address - Country:US
Practice Address - Phone:509-609-8966
Practice Address - Fax:866-736-5881
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61330843101YM0800X
WAMC61085909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health