NPI Profile for Dr DIANE S PLEASANT in DECATUR, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Case Manager/Care Coordinator |
171M00000X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1669561080 |
|
| Status | Active | |
| Credentials | PSYD, LCPC, CADC | |
| Entity | Individual | |
| Enumeration date | 10/12/2006 | |
| Last updated | 06/28/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANE S PLEASANT
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