Provider Demographics
NPI:1831346931
Name:KRASNER, DIANE RAE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:RAE
Last Name:KRASNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 SUMMER RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08853-4067
Mailing Address - Country:US
Mailing Address - Phone:908-418-2066
Mailing Address - Fax:
Practice Address - Street 1:245 US HWY RT 22 WEST
Practice Address - Street 2:SUITE 107
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2560
Practice Address - Country:US
Practice Address - Phone:908-722-4300
Practice Address - Fax:908-722-1134
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00347400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional