Diane Paige, M.A., L.P.C.

Individual provider Active NPI Professional Counselor · Fairview, NC

NPI 1982851291 · NPPES record last updated Aug 19, 2008

Key facts

NPI
1982851291
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6982 (NC)
Practice address
9 Miller Rd
Fairview, NC 28730-9533
Phone
(812) 871-7340
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6982NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6982 NC Yes

Addresses

Primary practice location

9 Miller Rd
Fairview, NC 28730-9533

Mailing address

11 Miller Rd
Fairview, NC 28730-9533
Phone (812) 871-7340

Other providers in Fairview, NC

All providers in Fairview, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.