| Diane Menke Pence, Lmhc | |
|
205 N College Ave Ste 613 Bloomington IN 47404-3950 | |
| (812) 333-3440 | |
| (812) 333-3444 |
| Full Name | Diane Menke Pence, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 205 N College Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Diane Menke Pence (OWNER) |
| Authorized Official Contact | 8128766322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Menke Pence, Lmhc 1522 N Limestone Dr Ellettsville IN 47429-9363 Ph: (812) 876-6322 | Diane Menke Pence, Lmhc 205 N College Ave Ste 613 Bloomington IN 47404-3950 Ph: (812) 333-3440 |
| NPI Number | 1023339967 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023339967 | NPI | - | NPPES |
| 158893992 | Other | IN | NPI INDIVUDAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39002125A (Indiana) | Primary |
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