Provider Demographics
NPI:1548519937
Name:WESNER, DIANE MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MARIE
Last Name:WESNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 S EAST ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1534
Mailing Address - Country:US
Mailing Address - Phone:317-991-7600
Mailing Address - Fax:317-215-7030
Practice Address - Street 1:4200 S EAST ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1534
Practice Address - Country:US
Practice Address - Phone:317-991-7600
Practice Address - Fax:317-215-7030
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002120A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health