Provider Demographics
NPI:1750536603
Name:OSBORNE, DAYNA THOMPSON (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:THOMPSON
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7686
Mailing Address - Country:US
Mailing Address - Phone:636-861-1870
Mailing Address - Fax:636-861-1613
Practice Address - Street 1:1230 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021-7686
Practice Address - Country:US
Practice Address - Phone:636-861-1870
Practice Address - Fax:636-861-1613
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional