Provider Demographics
NPI:1740475904
Name:BERNARD, DIANE G (LPCC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:G
Last Name:BERNARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 OCONNELL PLACE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091
Mailing Address - Country:US
Mailing Address - Phone:614-302-1685
Mailing Address - Fax:
Practice Address - Street 1:7009 OCONNELL PL
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091-7543
Practice Address - Country:US
Practice Address - Phone:614-302-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor